Disasters are prevalent with devastating effects on vulnerable populations that include the elderly, disabled, women and children. Historical responses to vulnerable children and families post-disaster raise questions concerning further harms to children rescued by adoption in the aftermath of devastation. This article offers critical and historical perspectives on child removal for adoption in the context of disaster and the psychosocial care of children affected by disaster. It brings into question whether removal, especially permanent removal for adoption, is in their interests. This article concludes that efforts are needed by the international community to ensure that past abuses do not recur.