On December 2nd 2017 we attended the Lupus and Pregnancy conference at Stanford University. We met and spoke with Dr. Yashaar Chaichian, professor in Immunology and Rheumatology at Stanford School of Medicine, and Director of the Stanford Lupus Clinic. We were inspired by his presentation at the conference about the importance of preconception counseling, appropriate treatment during pregnancy as well as factors that contribute to adverse outcomes. We learned from Dr. Chaichian that most lupus patients of childbearing age had not received timely counseling regarding safe birth control, conception and control of disease. According to Dr. Chaichian, preconception is the most important phase for ensuring a good maternal outcome for a woman with lupus yet a key problem is lack of preconception education.