Even during normal pregnancy, there is a 1% risk to mother and foetus. In patients with rheumatological diseases, the pregnancy risk is much more amplified, and it is even higher in lupus (SLE, systemic lupus). However, with appropriate treatment, pregnancy outcomes are much better with modern medicines. The main barriers are a lack of understanding of the disease process (patient awareness). Here is one patient with a long, successful lupus journey with arthritis and myositis (muscle involvement) and a well-planned pregnancy under strict guidance with a successful outcome.