There are many opinions, truths and myths about eating sushi during pregnancy and breastfeeding. Cultural differences affect the consumption of sushi remarkably. The Japanese focus on the healthy properties of fish and recommend that you should eat fish regularly in order to increase your intake of DHA and other Omega-3 and Omega-6 fatty acids. However, in most European countries and in the USA, raw sushi is to be avoided due to the fact that certain types of fish may contain high levels of mercury, dioxins or other toxins, including tilefish, mackerel, fresh tuna, mahi-mahi, and shark. In reality – although contradictory – both perceptions are correct. So, what should expectant and breastfeeding mothers do?