Neonatal transports have been described as a high-risk service due to the types of patients transported, the different environments the transport team must function in at each referring facility, the transport equipment itself, the mode of transportation, and the level of responsibility the transport team must assume as representatives of the receiving facility. For the most part, neonatal transports represent a low-volume, high-acuity aspect of neonatal intensive care. The transport process begins with the identification of the ill neonate, transitions through the transport team, and ends with admission to the neonatal intensive care units. A well-developed regional neonatal or perinatal program helps to ensure the smooth transition of the neonate from the referring to the receiving facility. The goal of the neonatal transport team, a part of the regional program, is to provide high-quality, safe, efficient, and family-centered care to the ill neonate prior to arrival at the tertiary unit.