Neural tube defects (NTDs) encompass a variety of congenital anomalies ranging from anencephaly to spina bifida occulta, and arise due to defects in the morphogenesis of the neural tube. While spina bifida remains the most common congenital central nervous defect encountered in neurosurgical practice, the overall incidence of NTDs is in decline.1 4 Multiple factors account for this change, including increased antenatal diagnosis, declining birth rates, changing social attitudes, and improved standard of living and diet. A diagnosis of spina bifida can have devastating consequences, and the “correct” management of these patients is a continued source of medical, ethical, and legal controversy. A multidisciplinary team is required, including neurosurgeons, pediatricians, neurologists, urologists, orthopedic surgeons, physiotherapists, social workers, psychologists, and nursing staff. At the center are the patient and family, with the common goal being social integration and a meaningful life.