The number of families created through the use of assisted reproductive technology (ART) has grown throughout the past decade. Families created through ART face many unique communication challenges both within the immediate family and with others outside the family, such as issues with privacy and disclosure. Whether parents choose to disclose genetic information to the child, to other immediate family members, or to others outside the family are issues that parents who use ART commonly face. This article applies communication privacy management theory to analyze the existing literature on families created through assisted reproductive technology. In doing so, the article highlights the communication and privacy issues these families face.