Today, genetic testing is an option for individuals who have deafness and h
ard-of-hearing conditions (D/ HOH) and their families for diagnosis and car
rier detection. As more and more D/HOH genes are identified, genetic testin
g mill become commonplace. However, genetic testing is different from other
tests that physicians commonly order and therefore should be conducted dif
ferently. The objective of this study was to determine the best manner in w
hich to conduct genetic testing for individuals who have D/HOH. Numerous st
udies have shown that pretest and posttest genetic counseling is beneficial
for patients and families undergoing genetic testing for a variety of cond
itions. The need for counseling was emphasized by our recently completed st
udy in which we found that the majority of individuals whose children had g
enetic testing for D/HOH had a poor understanding of many genetic issues co
ncerning recurrence risks for D/HOH and the meaning of the test results. Th
e think that genetic counseling should be an integral part of genetic testi
ng for individuals who have D/HOH.