There is no one standard for open adoptions; each family works out an arrangement that works well for them. Some adoptive parents want to meet the birth parents just once before the birth of the child, while others form ongoing relationships. In some agreements contact is limited to the adoptive parents sending photographs on the child's birthdays, and in others the parties agree to regular visits between the birth parents and the child. (Although these visitation agreements are often part of the legal proceedings for the adoption, they are not enforceable by a court. If the adoptive parents don't keep up their part of the bargain, there's not much the birth parents can do.)

Open adoptions can help reduce stress and worry by eliminating the fear of the unknown. Adoptive parents are reassured by knowing the birth parents personally instead of being afraid that one day a stranger will come knocking on their door to meet their child. This openness can be beneficial to the child as well, who will grow up with fewer questions and misconceptions than a child of a closed adoption might have.