Fetal reduction by interstitial laser therapy is an effective procedure. Prenatal ultrasound studies now enable the early detection of fetal anomalies and reduce abnormal fetuses in multi-fetal pregnancies. Fetal laser therapy was first used in complicated monochorionic pregnancies. Fetal reduction for purely social and financial reasons is not allowed. However, the fetal reduction is legal when done for the right reasons. Complications include miscarriage, infection, leaking of amniotic fluid, etc,.but they are very rare and the procedure is contemplated only when benefits outweigh the results. Having a reduction would be better than facing extremely preterm labor and having to take care of the babies in the NICU for a prolonged period of time, both expense-wise and outcome-wise. The fetal medicine specialist/ the fetal doctor does the procedure under ultrasound guidance.