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Psychosocial support in fertility clinics or centres providing third-party reproduction has changed over time as reproductive techniques have developed; social norms, legal systems and counselling standards have evolved; and access to information expanded with the world wide web. Today patient support and infertility counselling involves supporting and assessing patients, donors, surrogates and their partners, and the parents and children at all stages of family building from initial decision-making about choices to later family life. Infertility counsellors also address support needs of staff providing fertility care. However, not all centres provide this range of services. The present chapter will review essential components of patient support in third-party reproduction provided by clinic staff and infertility counsellors, highlighting key features of good practice according to the Human Fertilisation & Embryology Code of Practice (2019, 9th edition).