We examined the feasibility of home video conferencing for providing cancer genetic education and risk information to people at risk. Adults with possible hereditary colon or breast and ovarian cancer syndromes were offered Internet-based counseling. Participants were sent web cameras and software to install on their home PC's. They watched a prerecorded educational video and then took part in a live counseling session with a genetic counselor. A total of 31 participants took part in Internet counseling sessions. Satisfaction with counseling was high in all domains studied, including technical (mean 4.3 on a 1–5 scale), education (mean 4.7), communication (mean 4.8), psychosocial (mean 4.1) and overall (mean 4.2). Qualitative data identified technical aspects that could be improved. All participants reported that they would recommend Internet-based counseling to others. Internet-based genetic counseling is feasible and associated with a high level of satisfaction among participants. [ABSTRACT FROM AUTHOR]