Much progress has been made for mothers in medicine over the past two decades. However, more workplace changes are needed to improve the maternal-child health of women physicians. As a follow up to the Report of the Task Force on Women in Pediatrics, a recent study of US pediatric departments and training programs suggested specific improvements for the specialty. These family-friendly changes included clear, written parental leave policies; improved lactation facilities for breastfeeding mothers; better accessibility to quality child care; and flexible work schedules to accommodate the changing demands of family life (McPhillips, 2007; Report of the Task Force on Women in Pediatrics, 2005; Stanton, 2007). Here, we present five key areas where policy changes will have a tremendous positive impact for all working mothers.