The Internet is increasingly perceived to be a fast and anonymous information resource. Here we p resent data from a questionnaire posed to 297 patients attending an IVF unit in Athens detailing their use and perceptions of the Internet for health-related matters. Concurrently we monitored 178 emails derived from our IVF information website over a p eriod of30 m onths and report our findings. A large proportion of patients had Internet access (75%} and used the Internet to research information relating to health issues (69%}, and specifically IVF (66%}, with many expressing a wish to communicate with their physician as a consequence {86%}. in contrast, relatively Jew emails directly requested IVF treatment (3%}. Overall the majority of emails related to geni UJC llilano eral questions pertaining to JVF treatment (29%}, donor oocytes (17%}, or donor sp erm (1 0%). A marked difference however was observed when comparing country of origin. A greater prop ortion of emails from overseas requested donor egg (39%}, surrogacy (8%}, or sex selection (5%) as compared to Jew or none from Greece. We conclude the internet is both a valuable and established information resource for IVF in Greece, with many patients preferring to communicate online with their /VF healthcare provider directly. In summary the frequency and nature of email communications varied greatly depending upon the country of origin, and implications for medical tourism are discussed.