There's nothing quite like the joy of having a baby, but some couples try and try and aren't able to have one.
It could be infertility or some kind of medical complication.
But there are other options.
The instant when a mother holds a newborn in their arms is unforgettable.
Grandparents also cherish that moment in time.
One child that was born at CHI St. Alexius has created a unique bond between a Bismarck mother and her daughter.
Mandy and Jamie Stephens dreamed of a moment like this for years.
The couple had their share of struggles while trying to become pregnant, but all that would change when Mandy was blessed with the ultimate gift: motherhood.
"It really didn't seem real. I mean it was the best thing ever," Mandy said. "Like I'm going to wake up and this won't be real because you know, I've had dreams about it."
The reality of their daughter Myla's conception is complicated. After Mandy and her husband, Jamie, endured the loss of an infant son, they considered turning to a surrogate for help.
"We met with an adoption agency and then some family members came forward and said, 'Yeah, hey I might be a surrogate,'" Mandy said. "At first we kind of thought well that's kinda crazy, cool, we started reading about other families that were doing it."
After numerous trips to specialists and countless tests, Mandy's mother was chosen as the best candidate.
"You know, pregnancy was so easy. I like being pregnant. I don't mind being pregnant. If It was something I could do for her, why not," said Mandy's mother Sherri Dickson.
"So my family, I knew that they were probably the only ones that really could go through it all. And I knew my mom is the only one that could. I mean she is a rock star and it is not an easy process at all," Mandy said.
Carrying Myla brought an added benefit to Sherri, who has multiple sclerosis.
"I didn't be a surrogate to put my MS into remission. I actually, that was an afterthought that it did that," Sherri said.
After the big decision came what Mandy describes as a waiting game, and finally, the moment the family had hoped for.
"I had to look at the line then I had to put my glasses on and run down to my husband and I'm like, 'Put your glasses on,' and we're both looking at it. And then I thought, 'Yeah, I'm pregnant!' And then my second thought was, 'Oh, I'm pregnant,'" Sherri said.
"When she first brought it out I was jumping up and down and we were all just hugging," Mandy said.
The family welcomed baby Myla into the world July 31, a gift that's brought them together with an unbreakable bond.
"Myla, her name, means miracle and her middle name is James. She's named after her brother Theo James. So she is just like God's greatest gift to our whole family. We are so in love with her and she is going to be one spoiled girl because our family just dotes over her. We say it's Myla's world and we are just living in it," Mandy said.
The hope of carrying a baby is not over for Mandy, though.
Mandy had a procedure that has a 98 percent success rate for full-term pregnancies in women with an incompetent cervix.