The epitome of FAS and ARBD has been documented substantially in the medical literature. There appears to be little question that alcohol is a teratogen. The precise nature for the mechanism of causing congenital defects, whether it be direct or indirect, is still unknown. There is no unequivocal information that can be conveyed to patients regarding the quantity of alcohol that can be safely consumed during pregnancy. Because pregnant women generally are receptive to suggestions about controlling their alcohol consumption during pregnancy, the professional is presented with an excellent opportunity to encourage behavior modification. Early recognition of the alcohol-abusing women and appropriate counseling are the cornerstones of treatment for these patients.