I agree with Tom Hale about selling the positives and not sounding too counter-culture. I also like the idea of using lots of humor. People aren't as defensive and are much more open while laughing. I use slides. I show a gross, infected nipple or two and say: When your patient calls and says "Dr., I have sore nipples." This is what she's talking about. That really gets their attention, as I think nursing mothers sometimes have the reputation of being whiners -- always calling to complain and taking up lots of time. I remind them that that is why there are LCs -- we take the time to sort through, report back, and fix these problems. I always show a couple of slides of nursing toddlers. I comment that I'm doing this because many women in this and other countries nurse up through the pre-school years, and they need a few visual images of this so the idea doesn't shock them as much. A few years back I presented to a WIC crowd which included some health profs. who seemed really turned off and squeamish about bfg. I decided to show them Kittie Frantz's hand expression video. It seemed to me that part of their defensiveness was the whole idea of milk coming out of a breast grossed them out. So better they should see what it looked like and get over it. They were so funny. They all started out frowning with arms crossed across their chests (men and women!). By the end, they were all leaning forward, fascinated. I think sometimes the use of desensitization may help. Anyway, good luck, Kathleen. Don't forget to respect your own expertise. You are not a physician, you are something else: an LC and a wise woman. That's very good, and they need you just as much as you need them. Barbara Barbara Wilson-Clay, BS, IBCLC Private Practice, Austin, Texas Owner, Lactnews On-Line Conference Page http://moontower.com/bwc/lactnews.html