Twin to Twin Transfusion Syndrome (TTTS) is an infrequently reported, serious condition that can occur in identical twin pregnancies. It is a condition where one twin receives more blood flow and nutrients from the placenta than the other, resulting in an imbalance in the growth and development of the twins. This article will explore the latest advances in TTTS treatment, as well as the risk factors, causes, diagnosis, types, symptoms, and long-term effects of TTTS.