Son preference and daughter aversion have predominantly been understood in terms of gender-biased sex selection, which has been identified and measured by the presence of a skewed sex ratio at birth (SRB). When the “natural” sex ratio of 105 males to 100 females skews even further towards males, it indicates a prevalence of prenatal sex selection in favour of sons. Despite a decreasing SRB and a parallel trend in attitudinal data, son preference remains of significant concern in Georgia.