After 12 years as Editor-in-Chief of Fetal and Maternal Medicine Review I have decided to step down, albeit I welcome the opportunity to stay on as an Associate Editor. The last 12 years have witnessed a lot of changes, not only in the field of Perinatal Medicine but also in medical publishing, with the near demise of the ‘paper-based’ journal. I have enjoyed working with Cambridge University Press who have embraced these changes and remained strong supporters of the ‘Review Journal’ concept. The quality of the papers published over this time has progressively improved and we have continued my initial vision of publishing not only clinical but scientific reviews in a range of topics related to Maternal and Fetal Medicine. I owe a huge debt of gratitude to all the Associate Editors who have contributed over the last 12 years; Karel Marsal (Lund, Sweden), Lucilla Poston (London, UK), Mark Kilby (Birmingham, UK), Tze Kin Lau (Hong Kong) and Jason Waugh (Newcastle, UK). However I would particularly like to thank John Kingdon (Toronto, Canada) and Carl Weiner (Kansas, USA) who have stayed the course and whose sage contributions have been outstanding. Most importantly I would like to acknowledge the assistance of Jean Birtles whose endless detective work and ‘polite reminders’ have made my job considerably easier. Jean is also stepping down as Editorial Assistant.