The Family Is the PMO argues that families raising autistic children are already running complex, multi-decade programs — managing vendors, budgets, risks, and outcomes with none of the support any organization would consider the bare minimum. Drawing on the author's dual life as an enterprise PMO leader and father of two autistic sons, the paper introduces the Family Program Office (FPO): seven governance instruments translated for the kitchen table, giving families structure, foresight, and authority. A joint publication of Sprezza Advisory and The Living Autism Foundation (Canada).