What are the novel findings of this work?Appropriate antenatal risk classification using ultrasound including Doppler parameters in pregnancies with late-onset fetal growth restriction (FGR) allows fetuses at low risk of in-utero compromise to benefit from expectant management, with associated low neonatal and maternal morbidity. What are the clinical implications of this work?Risk stratification in late FGR pregnancy and pragmatic management based on a novel protocol for timing of surveillance and delivery could be implemented into clinical practice to reduce intervention in low-risk cases, with potential advantages in the neonatal period and long term.