The purpose of this philosophical inquiry was to understand and articulate the barriers to Family-Centred Care (FCC) implementation, to connect Neonatal Intensive Care Unit Music Therapy (NICU MT) to the principles of FCC, and to position music therapy as a unique and important contributor to the advancement of FCC principles within the Canadian NICU context. Since the inception of NICU MT as an area of specialization in the 1990’s, the shift towards FCC perspectives has been reflected in music therapy research, with significant outcomes for both improved physical parameters of fragile infants and the reduced anxiety and stress of parents. While NICU MT alignment with a FCC approach has become common, there has been limited explicit discourse on this alignment. This inquiry provides a comprehensive alignment of NICU MT’s research and approaches with the four FCC principles of Dignity and Respect, Information Sharing, Participation, and Collaboration, while articulating some of the systemic barriers that have impeded the full implementation of FCC.  Canada’s unique health care system, in combination with the burgeoning NICU MT field worldwide, sets the stage for new and innovative models of care that are truly family centred.