The profession of midwifery in Taiwan was an attractive job 30 years ago. In those days, midwives attended five times more deliveries than obstetricians. Formal midwifery training began in 1907. Midwifery education improved between 1936 and 1944, and became standardized under the Ministry of Education in 1945. At that time, qualified midwives at last won the respect and appreciation of their communities. Today, the profession of midwifery is declining in Taiwan. Modernization of the country, the development of medical insurance, and the transformation of attitudes towards hospital delivery have all contributed to the decline of midwifery. Midwives should be aware of the crisis in their disappearing profession. Many measures can be taken to restore the career. Rebuilding the profession will be a great challenge for Taiwan's midwives in the coming years.