When trafficking exploitation ends, victims face a new set of challenges as they return and integrate into their home environment. A critical aspect is the victim’s relationship and interaction with the family. Family provides not only emotional and social support, but also (often vital) economic backstopping. Considering and accommodating family dynamics and relationships in reintegration responses has the potential to contribute substantially to more efficient and appropriate assistance and protection. The focus of this report is on family reintegration, but with particular attention to the different relationships within families. Identifying common points of tension can be useful in providing more targeted assistance to victims of trafficking, thereby decreasing the risk of social vulnerability or even re-trafficking. Awareness of potential conflict points in family relationships may provide options for early intervention and also be built into reintegration processes and responses. Further, understanding that post-trafficking relationships may be tense and complicated (at least at some stage and in response to certain triggers) can reduce the stress and disappointment felt by many former trafficking victims after reuniting with their families, when support is not offered in the form they expected or hoped for. This report examines these points of tension and external factors that add extra strain to family relationships, and discusses the implications for assistance to individual victims as well as their family members. The report concludes with concrete and specific recommendations for future program and policy design, which can serve as a basis for further discussion on how to best support the reintegration of trafficked persons. This report is based on fieldwork research conducted in Albania, Serbia and Moldova between 2006 and 2008.