Assisted hatching (AHA) is a procedure performed on an embryo just prior to embryo transfer or in conjunction with pre-implantation genetic testing. In some instances, the outer layer of tissue that surrounds the embryo may not hatch open properly, preventing implantation. Using a high powered operating microscope an embryologist can assist the hatching process by creating an opening in the shell of the embryo by using microsurgical techniques with an acidified solution or a laser. In the case of pre-implantation genetic testing, AHA is required to enter the embryo to remove cellular material used for the genetic testing. Indications for the use of AHA are limited, and the physicians and embryologists at IVF New Jersey will determine when the AHA procedure should be utilized.