Munchausen by proxy (MBP) involves the intentional production or feigning of physical or psychological signs or symptoms in another person who is under the individual's care. The interaction between parent and child leads to abuse of the child by a mentally ill parent/mother perpetrator. The component of the MBP disorder related to the child's victimization is a form of child abuse called abuse by paediatric illness or condition falsification. Factitious disorder by proxy is for the most part a disorder of women and a misuse of 'mothering'. Fathers who are able to separate both physically and emotionally from mothers, can restructure the family system to acknowledge MBP. MBP protocols for hospitals and psychiatric facilities include prompt case consultation with relevant medical specialties and a consultant knowledgeable about MBP. Visitation should be considered very carefully in cases of alleged MBP as the child's victimization is typically significant and chronic.