Crohn disease (CD) and ulcerative colitis (UC) commonly affect women in their childbearing years. Fortunately, advances in the field of inflammatory bowel disease (IBD) have made successful pregnancy outcomes a reality for many women. These advances have led to family planning as a common discussion between gastroenterologists and IBD patients. Fertility, conception, medication safety, pregnancy, delivery, and breastfeeding are common discussion topics although there are limited available data. With approximately 50% of patients less than 35 years of age at the time of diagnosis and 25% conceiving for the first time after their diagnosis of IBD, education and patient awareness have become vital factors in successful pregnancy outcomes.