Here, Kathleen Berger explores the role of grandmothers in the lives of their grandchildren. She uses real life examples to illustrate how grandmothers can best integrate themselves into the lives of their children's families without overstepping. She explores the particular needs of each stage of childhood as they relate to grandmother involvement and input. Before a child is born, grandmothers need to attend to building a strong relationship with the future parents. In infancy, attachment and feeding are crucial. In early childhood, grandmothers need to follow the parent's lead, remembering that a parental alliance is essential. In childhood, children need to be safe but not isolated, and both bullies and victims benefit from a grandmother's support and assistance. In adolescence and emerging adulthood, grandmothers need to build direct connections and not avoid the difficult topics of sex, drugs, death, disease, and money. Throughout, elders need to learn technology, insuring that it fosters, not impedes relationships. Problems in relationships are explained honestly and with insight. Among these are issues when three generations share a home, when parents get divorced, and when grandchildren rebel against parental authority. Throughout the work, both the joy and the complications of effective grandmothering are described.