Mirror Syndrome also known as “triple edema” or Ballantyne syndrome, is a rare disorder affecting pregnant women. Mirror Syndrome is often underdiagnosed or misdiagnosed due to a general unawareness of the condition, and sometimes its preeclampsia-like manifestations. However, until now, the characteristics of Mirror Syndrome have not been fully elucidated. But medicine moves fast, and we now have a better understanding of its presentation, likely contributing factors, and outcomes. Still, some knowledge gaps remain. In this episode we will summarize the data on this terrible, potentially life threatening, obstetrical emergency. Our centerpiece for discussion will be a recent systematic review published in September 2023 in the AJOG with authors from my home state of Texas.