This video presents a complex case of severe Congenital Diaphragmatic Hernia (CDH) managed with Fetal Endoscopic Tracheal Occlusion (FETO). Dr. Beth Rymeski from Cincinnati Children's discusses the prenatal diagnosis, the FETO procedure, and the challenging postnatal course. The case highlights unexpected congenital anomalies found at birth despite extensive prenatal imaging and the limitations of current diagnostic and interventional approaches.