Anthropological debates on kinship in the Middle East have centred on the 'problems' of patriparallel cousin marriage and milk kinship. A focus on Middle Eastern reactions to assisted reproductive technologies such as in vitro fertilisation allows a fresh perspective on the study of kinship in the region. My own research has investigated Islamic legal reactions to assisted reproductive technologies and the practice of assisted reproduction in Lebanon. Islamic legal reaction is diverse, as are the uses made of these techniques by non-specialist Muslims. Considerations of propriety and public reputation remain uppermost, although matters of kinship are debated and new patterns and ideologies of relatedness are potentially emerging.