As Obstetrician-Gynecologists, we are charged with caring for women through every stage of their lives. From puberty to reproduction to menopause and beyond, we ensure that everything we do for our patients is in their short- and long-term best medical interests. We must continuously assess their risk factors in order to make medical and lifestyle recommendations that are most appropriately suited to each individual woman's need. One area of risk assessment often overlooked in our female patients is hereditary and familial cancer risk. The following is my journey of integrating hereditary cancer risk assessment (HCRA) into my everyday practice, and understanding it as fundamental to standard of care.