Our understanding of FASD is entering a period of rapid expansion and change, dramatically increasing our comprehension of the breadth and depth of the global impact of this lifelong disability. This 4th International conference will provide an advanced forum for emerging and cutting edge research, policy and practice that will assist governments, service systems, service providers, parents and caregivers, as we strive to address the complex issues of FASD. This new knowledge will be an impetus for critical action in supporting women, individuals, families, and communities around the world.