50 couples selected randomly from a population of 150 couple acceptors at the University Health Service Family Planning Clinic, Philippines, were administered a questionnaire and interviewed in an effort to examine the decision-making process in family planning and to determine the primary target population for increased educational and motivational efforts. The specific study objectives were: to determine the motivating factors during decision-making that lead to family planning acceptance; to determine the decision-maker in the acceptance of family planning; and to examine how a decision for acceptance of family planning is made. The primary motivating factors which led to the respondents' adoption of family planning were: their awareness of the economic burden of large families; their desire to maintain or restore the health of their wives; and their interest in the provision of adequate care for their children. The husbands in the study made the final decision in the adoption of the concept of family planning. The process of decision-making to adopt family planning came as a result of preparatory discussions between the couples. There was indication of active participation among the wives in the process of decision-making, because they were the most concerned and better informed about contraceptive methods and resources.