We present the latest HDlive images of normal and abnormal placentas and umbilical cords. By means of HDlive, more detailed information on placental and umbilical cord abnormali ties can be obtained, because this technique is a new surface rendering mode that uses an adjustable light source to create lighting and shadowing effects, thereby increasing depth per ception. HDlive provides extraordinarily realistic imaging of the placenta and umbilical cord, making it almost impossible to differentiate between fetoscopic findings and ultrasound scans. This novel technique may assist in evaluation of the placental and umbilical cord anatomy, and offer potential advantages over conventional two and threedimensional ultrasound. HDlive may be an important modality in future placental and umbilical cord research and in the evaluation of their abnormalities.