Fetal growth remains at the centre of concern for all professionals in maternity care. Increasingly, it is identified also as a patient safety issue which has not only significant clinical but also public health and resource implications. Many uncertainties remain about how to provide the appopriate level of surveillance, how to manage the pregnancy at risk, and how to achieve the best possible outcome. Fetal Growth 2014 is convened by the Perinatal Institute, again with the help of an international organising committee and a high profile Faculty. The meeting promises to provide comprehensive updates of the latest evidence, and a forum in which to discuss implications for clinical practice, audit and further research.