A couple came, twenty weeks into what should be the most thrilling chapter of their lives, shuffling into our fetal medicine unit clutching a thick file of ultrasound prints and devastating news: “Termination may be your safest option.” Their twins shared a single placenta—the monochorionic twin pregnancy setup that, in about one pregnancy out of seven, develops into Twin-to-Twin Transfusion Syndrome (TTTS). One baby receives too much blood and nutrients while the co-twin is left running on fumes. Untreated TTTS has a survival rate of only 10%, with risks of heart failure, preterm delivery, or loss of both babies. They had already pursued second and third opinions. Every door seemed to lead abroad—Europe or the U.S.—at costs exceeding lakhs. Then they heard about Mayflower Women’s Hospital, Ahmedabad, where Dr. Mayank Chowdhury and his mentor Dr. S. Suresh had just performed Gujarat’s first successful fetoscopic laser photocoagulation for TTTS. The result? Both twins survived. The mother is thriving. And for the first time, families in western India don’t need passports or massive budgets to access this life-saving treatment. If you’re carrying monochorionic twins with unequal fluid levels or growth discordance, this breakthrough means hope is now just hours away, not continents. Read more