This article presents challenges in family reintegration for returning Moldovan trafficking victims based on qualitative interviews with 19 victims of trafficking and 31 service providers, looking specifically at points of tension in reuniting with children and spouses. One main source of conflict is when migration expectations are unrealized; another is stressed behaviours of victims when they return. To avoid being stigmatized and blamed for association with prostitution and failed migration, most victims prefer to keep their trafficking a secret. However, this means that families may not understand or appreciate what they are going through in the post-trafficking stage and misinterpret stress, anxiety and trauma symptoms as aggression and hostility. Further, two additional factors – financial problems and stigma – add extra strain on family relationships. In terms of assistance needs, it is crucial to include a perspective on the family situation when working with trafficking victims.