Pro-Family Pediatricians was initially formed to speak out against the Federal Marriage Amendment, which would have excluded gay and lesbian couples nationwide from marriage. PFP members signed a letter expressing their opposition to the bill, testified against it in hearings, and spoke against it in the press. While this amendment failed, the passing of the Defense of Marriage Act just a few years later is a reminder of the desperate need for advocacy. We encourage pediatricians in every state to continue to oppose laws that bar same-sex couples from legal protections for their families and that restrict the ability of lesbian and gay people to be strong, loving, and effective parents.