In a perfect world, every baby would latch beautifully right after delivery and breastfeed happily ever after. In reality what we often see is that most moms and babies need a little help to get breastfeeding off to a good start. Many dyads need a lot of help. And a few mother/baby pairs need a miracle to breastfeed successfully. How can we best help those tough cases? There are many reasons babies struggle to latch and feed well. Some issues may include structural issues, physical discomfort, respiratory concerns, medical issues, digestive issues, poor feeding tool choices, prematurity, and more. Many providers are frustrated when they are unable to help a dyad latch and feed successfully. Using case studies, we will review challenging situations and the assessment techniques and care plan strategies that helped. This session is designed to help providers implement critical thinking when it comes to difficult cases.