The need for board certification of Family Medicine Obstetricians is antedated only by the development of Obstetrics Fellowship Training Programs themselves. Postgraduate Fellowship Training in Obstetrics for Family Medicine Physicians began in 1984 as a result of the dire need of obstetric healthcare providers in rural areas of this country. Attempts to recognize and certify these physicians have actually been a long-term task, dating back to the 1980s. This paper is a history of the attempts at board certification.