A physician and an attorney from the Strong Memorial Hospital at the University of Rochester present a
case report of how the federal \"Baby Doe\" regulations affected the care of conjoined twins born at their facility. The infants, whose anomalies made surgical separation impossible and death imminent, were nonetheless transferred back for further evaluation from a community hospital to the university\'s neonatal intensive care unit. A federal investigative team visited the facility briefly after the Department of Health and Human Services was anonymously informed of the infants\' presence. The twins died shortly after being transferred back to the local hospital. Shapiro and Rosenberg assess the negative impact that the threat of federal intervention had on the infants\' course of treatment and on the emotions of parents and staff, and conclude that this
case exemplified the disruption of care that was predicted when the federal regulations were promulgated.