At fertilization, the gametes endow the embryo with a genomic blueprint, the integrity of which is affected by the age and
environmental exposures of both parents. Recent studies reveal that parental history and experiences also exert effects through
epigenomic information not contained in the DNA sequence, including variations in sperm and oocyte cytosine methylation and
chromatin patterning, noncoding RNAs, and mitochondria. Transgenerational epigenetic effects interact with conditions at conception
to program the developmental trajectory of the embryo and fetus, ultimately affecting the lifetime health of the child. These
insights compel us to revise generally held notions to accommodate the prospect that biological parenting commences well before
birth, even prior to conception.