One of the most common questions that schizophrenia patients, especially young, unmarried women, face after regular treatment and stabilization of their illness is: Is it possible to get married? Is it possible to have children? China’s marriage law states that “Patients with diseases that are medically considered unfit for marriage should not get married. However, it does not explicitly state that people with schizophrenia cannot get married. The current consensus view is that schizophrenic patients with stable or recovered symptoms can marry. However, it is worth mentioning that marriage and childbirth can be a double-edged sword for this group of patients, with both advantages and disadvantages. Schizophrenia patients who marry and have children need to pay attention to the following points: (1) Genetic issues. Although studies have found a certain genetic component to schizophrenia, the mechanism of heredity in the development of the disease has not been fully elucidated. The likelihood of the disease occurring in the offspring of schizophrenic patients is significantly higher than in the normal population, and it is generally believed that the likelihood of a child with one schizophrenic parent having the disease is 10-15%, while the likelihood of a child with both schizophrenic parents having the disease is as high as 40-50%. However, there are still half or even more than half of the schizophrenic patients whose children do not develop the disease. Therefore, the decision to marry and have children with schizophrenia should be made jointly by the patient (with stable symptoms) and his or her family. (2) The problem of relapse. Antipsychotic medication can rehabilitate most schizophrenic patients, but schizophrenia is a disease with a high risk of relapse. A successful relationship may be conducive to a return of the illness, and a setback in a relationship may lead to a recurrence of the illness; the pressure on the family increases significantly after marriage and childbirth, which may also become a source of stress for relapse if not handled properly; after pregnancy, for female patients, there are drastic hormonal changes in the body, which may also lead to a recurrence of the illness; antipsychotic drugs may have teratogenic effects on the fetus, and it is generally not recommended to take antipsychotic drugs during pregnancy. Antipsychotic drugs may have teratogenic effects on the fetus and are generally not recommended during pregnancy, which may also lead to recurrence of the disease. When should I get pregnant? Generally, pregnancy is not possible until the patient has been treated with a full course of antipsychotic medication for at least 3 months after stabilization of the disease, but the specific situation needs to be analyzed. (3) The issue of raising the patient’s children. Some female patients may give birth to children without difficulty, but the issue of child rearing should still be given high priority. Patients with schizophrenia are prone to remaining socially deficient after remission, and their family environment may not be very harmonious, and they may be somewhat limited in performing their parental functions. In summary, there is no law that prevents people with schizophrenia from marrying and having children, but marriage and childbirth should be done carefully, especially for people with schizophrenia, and under the guidance of a psychiatrist and an obstetrician-gynecologist.