This article is a call to action to the infant mental profession to consider infant mental health (IMH) practice as care work that is often marginalized in contemporary American society. The author examines critical elements of care work that juxtapose competent IMH practice. Investigating the experiences of those performing IMH work is necessary to better understand what support and resources the IMH workforce needs to grow and thrive, and what the best mechanisms might be for addressing imbalances in power and privilege between IMH practitioners and the families they serve.