The "Golden Hours" of care refers to the unique care of very low birth weight (VLBW) neonates in the first few hours of life. VLBW neonates comprise the majority of high-risk deliveries. Even when these neonates are vigorous and crying, pink and well-perfused, they are at risk. Decisions made in the first hours of life can result in a smooth transition to extrauterine life or can hasten and worsen maladaptation.Provide best-case outcomes for VLBW neonates with Golden Hours: Care of the Very Low Birth Weight Neonate, a practical clinical guide for the NICU.