The diagnosis of fetal anomalies is one of the most important issues in obstetrics and in our clinical practice. The ability to detect fetal pathologies should neither be a sterile exercise of medical skill nor a skill reserved to the aristocracy of obstetrics and fetal medicine. The diagnosis of fetal pathologies is essential not only to take a decision whether to terminate a pregnancy, but it also helps in avoiding fetal compromises/sequels, choosing the appropriate management for each pathological condition and, in some specific situations, allow us to treat the fetus directly in the maternal womb. Nowadays, this awareness shifts our profession into a new era and constantly pushes us to improve our skills.