Drs. Jennifer Twiss and Mike Marrin from the Department of Pediatrics at McMaster University reflect on Mortality and Morbidity (M&M) Meetings. This discussion reviews: the history of M&M meetings (purpose, styles, evolution); NICU M&M rounds at McMaster (tools developed, successes, and challenges; review of the literature of effective M&M Meetings; and suggestions for making M&M meetings more meaningful.