The Catholic Church teaches that all forms of artificial birth control are intrinsically evil - wrong in all circumstances! Only practices that make use of natural methods of avoiding pregnancy are considered acceptable for Catholic couples. The Church also has extensive teaching on the importance of conscience, its formation, and the obligation to act according to conscience. This work explores possible interactions between conscience and the teachings on birth control by first examining what we mean by conscience, and how it is properly formed. We then reflect on how moral decision-making is more than simply pronouncing acts good or evil in themselves - that intention and circumstance must be considered as well. Through the process of prayer, study, reflection, and dialogue, couples can come to clarity in conscience concerning what is best for their marriage and family.