There is a considerable amount of research on the challenges associated with parenting children who have disabilities, and little that focuses on positive aspects. The purpose of the study was to describe the rewards of parents of children with a fetal alcohol spectrum disorder (FASD). Nineteen birth, foster or adoptive parents were asked to answer the following question: "What are the rewards of parenting a child with a FASD?" The data were analyzed using multidimensional scaling and cluster analysis. Four clusters resulted. Parents indicated that they saw the children's effort, growth, and accomplishment in a variety of domains as encouraging. Parents also reported feeling appreciated by the children. Results suggest that rewarding parenting experiences with children who have alcohol-related disabilities are multiple, diverse and, when compared to the literature, largely consistent. The results lend credibility to the existing literature on the rewards of parenting children with developmental disabilities, and FASD in particular.Keywords: Fetal alcohol spectrum disorder, parenting, rewards.Prenatal alcohol exposure on the developing fetus can result in multiple lifelong effects [1]. These effects vary with amount, duration and timing of alcohol consumption, the general health of the mother, as well as genetic factors [2][3]. Fetal alcohol syndrome (FAS) is characterized by craniofacial abnormalities, prenatal and/or postnatal growth restriction, and central nervous system impairment [4]. Fetal alcohol spectrum disorder (FASD) is an umbrella term that encompasses the complete spectrum of effects resulting from alcohol use during pregnancy [2,5,6]. FASD includes a range of diagnostic terms from FAS, to categories that include some of the features such as fetal alcohol effects, prenatal alcohol effects, partial fetal alcohol syndrome, alcohol related birth defects (ARBD) and alcohol related neurodevelopmental disorder [7][8][9].A range of factors influences the ascertainment and diagnosis of FASD, and therefore its frequency has been difficult to determine [10]. Estimated prevalence of FAS in the United States ranges between 0.5 -2 per 1000 live births and the rate of FASD between 9-10 per 1000 live births [10,11]. It has been estimated that the total of people with FASD in the United States exceeds 2.6 million [12]. Although Canadian studies have estimated the prevalence of FASD in small populations, there are currently no national data [5].Children with an FASD diagnosis may experience medical complications related to hearing, speech and vision [3]. In addition, neurodevelopmental delays, most commonly in the forms of intellectual and attention-related disabilities [13][14][15], are present. In addition to these primary disabilities, children with FASD are also at high risk for the development of secondary disabilities. Secondary disabilities are those that a person is not born with and could potentially be ameliorated through intervention [16]. Streissguth and colleagues *Address correspondence to th...