This session covers perinatal and neonatal care of twins and higher-order multiples. The topics covered are twin–twin transfusion syndrome, selective IUGR, and discordant growth. The speakers will discuss outcomes based on shared placentation and timing of delivery. Fetal therapy, early intervention, and postnatal monitoring will be addressed. Common complications in multiple gestations will be presented through case examples. Appropriate for maternal-fetal medicine specialists, neonatologists, and NICU planners.