Although it remains a contentious issue, co-sleeping is becoming more popular in Western, industrialized societies. This article explores the practice of co-sleeping in crosscultural settings, examining the role of culture, the dominant Western discourse regarding sleep, and changes in policy recommendations regarding sleeping approaches. Although debate remains, caregivers appear most comfortable when they proactively choose an approach and implement it consistently, conversely experiencing dissatisfaction when sleeping arrangements are made reactively. On the basis of reviewed findings from historical and current literature, the authors provide recommendations and techniques for practitioners in supporting families around sleep practices.