The document summarizes the proceedings of the FIRST PWS CARETAKERS’ CONFERENCE held in Herne, Germany in 2008. Over 150 participants from 17 countries attended. There were lectures and workshops on various topics related to caring for individuals with Prader-Willi syndrome (PWS) including nutrition management, behavior management, health issues, and creating supportive environments. The workshops identified challenges individuals with PWS face and best practice guidelines for caretakers, families, and support systems. Effective communication between all parties and comprehensive, lifelong support were emphasized as key to helping those with PWS lead healthy lives.