This paper aims to conceptualise transition to adoptive parenthood. The transition is acknowledged in universal health services and recognised in the role played by community practitioners, in particular health visitors, within 'high-impact area 1'. The specific needs of transition to adoptive parenthood can be overlooked or conflated with transition to biological parenthood. A literature review was undertaken and, in line with Rodgers (2000), antecedents, attributes and consequences were identified. Understanding transition to adoptive parenthood through concept analysis has been useful in highlighting to community practitioners the importance of context when considering adoption and also the circumstances preceding adoption (antecedents) as a route to parenthood. Transition to adoptive parenthood is contextual and should therefore be understood in the context of the situation and circumstance of those becoming parents.