What's already known about this topic? LUTO is a rare but life‐threatening condition affecting the fetus and child in which prenatal therapy is currently being offered but remains controversial. A recent RCT comparing this treatment to post‐natal treatment in selected cases failed to come to robust conclusions due to under‐recruitment. So, the controversy persists. What does this study add? In this debate, 2 renown experts in the field develop their arguments pro and against shunting for all LUTO cases based on the current literature and a long‐standing clinical experience in the field of fetal therapy.