The reproductive anatomy, physiology, and breeding behavior of the llama is unique enough to make familiarity with it imperative. Female puberty averages 12 months, while many males are not reproductively functional until after 3 years. Proper management of a breeding pair or herd is necessary to maintain maximum reproductive performance. Proof of pregnancy is suggested by rejection of the male and may/should be confirmed by progesterone assay, rectal palpation, or ultrasound techniques. The postpartum female is notable for breeding back rapidly, with high pregnancy rates resulting. Both male and female factors enter into llama infertility, with each gender having significant incidence of reproductive anatomical abnormalities. Management as well as acquired infertility problems (heat factors, trauma, infection, neoplasia, and hormonal imbalances) contribute to the bulk of infertility cases investigated. Techniques used to diagnose infertility in llamas are quite comparable to the equine species; however, female body size and semen analysis in the male present significant challenges. The approach to therapy has been quite empirical to date, owing to lack of consistent problems and numbers to afford conclusive trials. Alterations of pregnancy include resorption, abortions, and stillbirths. Resorption between 30 to 60 days of gestation is reported regularly. Abortions caused by stress occur regularly. Infection abortions caused by leptospirosis, toxoplasmosis, and chlamydiosis are to be expected. Ponderosa pine-related abortions are suspected. In summary, I find use for a broad background in large animal theriogenology to apply to llama infertility. There no doubt are additional diagnostic techniques and therapeutic regimens that have application, and it is up to us all to keep good records and share the information.