It is important to underscore some basic "truths" about communicating with families--ideas that have been well described in the literature for the past several decades. The most important issue is that "truth disclosure" is a process, not an event. In the paper by Klein and colleagues (2011), it is apparent that most of the parents in the study had already seen other professionals and done their "homework." Nonetheless, despite being relatively prepared, there remained gaps in the "process" that could (in this observer's view) be addressed with several practical (and of course "family-centred") steps on the part of service providers. In this article, the author discusses the importance of communicating with families as a challenge one can and must address.