How do health professionals react to clinical guidelines? Grit to cope with unpredictable situations and limitations not addressed by guidelines.

Assisted reproductive technology has become the primary treatment of infertility. As such, assisted reproductive technology has been regulated by certain authorities and primarily, structured by various scientific organisms through recommendations and guidelines. Yet, these have limits-the topic addressed here-and may at times need to rely on grit for managing the totally unexpected. Doctors should also cope with what is not addressed by these guidelines, including the couple's desire for final family size.