Background: Our aim in this paper is to build upon the experience of family adaptation and to describe one unique stressor experienced by adoptive parents of children with fetal alcohol spectrum disorder (FASD) that may hinder successful family adaptation. Method: Fifty-one adoptive parents of children with FASD from 36 families in Ontario, Canada, participated in a mixed methods study. Parents completed 2 questionnaires, the Family Crisis Oriented Personal Scales and the Questionnaire on Resources and Stress--Friedrich's Short Form, and participated in in-depth, semistructured interviews, which were analysed using interpretative phenomenological analysis. Results: Parents expressed that improved knowledge and awareness of FASD from healthcare professionals, teachers, and society as a whole would help in their adaptation to raising their children with FASD. Specifically, parents discussed the lack of recognition of the symptoms of FASD, the lack of understanding about what a diagnosis of FASD means, and the need to promote better messages of prevention. Conclusions: Our findings display a clear need for more supports for families, particularly in the area of increasing public and professional knowledge about the realities of raising a child with FASD.