Early pregnancy loss is common, occurring in 15% to 25% of all clinically recognized pregnancies. Clinical presentations vary and diagnosis is achieved by an ultrasound alone, or with serial ultrasounds and/or hCG testing. Patients may present a range of emotional responses to the diagnosis. Treatment options can be individualized and include expectant, medication, or procedural management. Centering patient preferences can improve the patient experience as the amount of control patients have over the management process is most predictive of their emotional well-being afterward. Aftercare depends on the management option chosen and should include aspects of both psychosocial and physical care.