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- Black Jack has the chapter "Switched". A mother is blackmailed by a particularly unpleasant woman, who claims to have seen her switch her baby with another one in the maternity ward shortly after discovering that her son had a rare, most likely terminal condition. Once she can no longer make the payments, the mother allows her blackmailer to accuse her of kidnapping. The key witness is Dr. Black Jack, who reveals that it's a subversion - he states that he operated on the child, curing his condition, and that the scar on the child is proof that he belongs to his mother. On the way out, he informs the the blackmailer that after the operation, he saw the child's unknowing mother switch the babies... and switched them back.
- Played for Laughs in Daily Life with Monster Girl. In an omake featuring Miia, Centorea, and Papi's mothers together, Papi's mother explains that harpies in the same family group have an Uncanny Family Resemblance to the point of being Inexplicably Identical Individuals. When Miia's mother jokes about the possibility of Papi getting mixed up with one of her relatives, Papi's mother blithely admits that it has happened several times.
Papi's mother: But I'm pretty sure Papi's really Papi. I think.
- In JoJo's Bizarre Adventure: Stone Ocean, a mother whose new-born died after birth swap hers for a living child... in the process splitting up two fraternal twins. This comes back in the end, when the sibling relationship is revealed.
- The final arc of Kinnikuman revolves around the revelation that there was a fire in the hospital on the day the prince of Planet Kinniku was born — and in the confusion he may have been switched with any one of five other newborn boys. A tournament between the six now-grown possible princes is organized to determine the real deal; as it turns out the Kinnikuman everyone is familiar with, Suguru, was the real prince all along.
- In Pandora Hearts, protagonist Oz Vessalius is revealed to be the chain Oz the B-rabbit inhabiting the cursed body of Tragic Villain and Manipulative Bastard Jack Vessalius. He was switched with Zai Vessalius's real, stillborn child at birth as part of Jack's plan to reunite Alice and the B-rabbit. He does not take this revelation well at all.
- The Tokyo Ghoul light novels introduce Ikuma Momochi, a Ghoul that was raised by Muggle Foster Parents. The night Ghoul Investigators came to kill his mother, a human doctor just happened to be preparing to kill herself over the death of her own child. The two women switched babies, allowing Ikuma to be raised as a human child. Unlike most examples, he's aware of his origins but Happily Adopted.
- Invincible heroine Atom Eve has this as her backstory. The scientist in charge of the Super Soldier project that created Eve felt guilty about condemning the unborn Eve to life as a lab experiment and had her Switched at Birth with a stillborn child. The parents were initially surprised to see Eve after being told their baby hadn't survived, but quickly decided it wasn't important — their daughter was alive and that was all that mattered.
- The Flash: It was retconned that Barry Allen had a twin brother who was believed stillborn; however, the doctor actually switched his twin with another couple's dead baby to keep them from pressing charges for botching the delivery, and he was raised as Malcolm Thawne. When Malcolm realized this was one of the reasons for his terrible childhood, he killed the doctor in a rage, demanding to know why he was the one to be taken.
- The last part of the prologue of the Usagi Yojimbo "Grass-Cutter" arc mentions a daimyo who, according to legend, was the result of his grandmother switching her actual granddaughter for the son of an umbrella merchant so their domain would have a male heir. As his cowardice brings ruin to his land, the old woman, preparing to sacrifice the emperor's child to keep him from falling into enemy hands, tells the empress that the story was true.
Films — Animated
- This happens in The Princess and the Pea. Daria (the princess) was switched by Laird with his daughter, Hildegard, so that he could get his vengeance on his brother, Heath. Part of Laird's plan was to pretend that their baby died shortly after birth so that his wife could help raise their daughter to grow up into a Royal Brat. Meanwhile, Daria was sent to live with pig farmer peasants.
Films — Live-Action
- A similar theme is used in the 1988 film Big Business with Lilly Tomlin and Bette Midler playing the mismatched sets of twins - each named Rose (Tomlin) and Sadie (Midler) - of a rural working family and a wealthy urban family. Unusually, in the end neither birth nor upbringing turns out to provide the stronger link between the women; instead, urban Rose and country Sadie are Wide Eyed Idealists while country Rose and urban Sadie are aggressive and cynical.
- The very same year, French black comedy La vie est un long fleuve tranquille mixed this theme with Slobs vs. Snobs. On Christmas Eve, as she was rejected by her married OB-GYN lover, a midwife switched two babies born that night, a white-trash girl and a well-bred boy. After a final betrayal, twelve years later, the midwife reveals the ugly truth, and the boy comes to live with his rightful family. But as he was raised within a family of crass thieves - but loving ones anyway -, soon, the kid teaches his wealthy parents they should have thought about it twice before taking him back...
- Parodied in the film Delirious, where a man trapped inside a soap opera is outraged with the changes its current head writer is making. One of them is the show's idealistic heroine being revealed to have been switched at birth with the daughter of the rich villainous family that runs the whole town, causing her to INSTANTLY become exactly like them.
- The Omen (1976) began with an swap between a dead baby and a mysterious newborn.
- The most mind-hurting example is in the 1970 movie Start the Revolution Without Me. In pre-Revolutionary France, two sets of identical twins are born on the same night and delivered by the same doctor, so there are four babies. The midwife and doctor can't remember which is which, so they shuffle them a bit so "at least we'll be half right". They grow up as two sets of fraternal twins, one aristocratic, one revolutionary peasant. Then the French Revolution comes around...
- The Eric Idle/Rick Moranis vehicle Splitting Heirs was a pretty straightforward take on this.
- The aptly titled 1991 TV movie Switched at Birth (no relation to the TV series) is based on the true story of Kimberly Mays and Arlena Twigg.
- 1991's Toto the Hero features the main protagonist believing that he was switched at birth with the neighbour's baby, and setting out to get the life that he believed was his.
- The italian movie Il 7 e l'8 start in an infant nursery in Palermo (Italy) where a male nurse exchanges the labels of baby number 7 and 8 (is later revealed that he was angry because had lost a lottery for a single number, the 8 instead of 7). Thirty-one years later Tommaso (7) and Daniele (8) meet each other by accident and, after some events, they discover the truth.
- In an obvious nod to The Omen (1976), Good Omens starts with a baby swap that doesn't go quite the way the swappers plan.
- To be fair, they had to deal with three babies, not two; "a golden-haired male baby we will call Baby A," "a golden-haired male baby we will call Baby B," and "a golden-haired male baby we will call the Adversary, Destroyer of Kings, Angel of the Bottomless Pit, Great Beast that is called Dragon, Prince of This World, Father of Lies, Spawn of Satan, and Lord of Darkness".
- This is part of the plot of Mark Twain's novel Pudd'nhead Wilson, involving two sons of a white plantation owner, one by his wife and one by a slave woman, being switched at birth by the slave so her son could live a life of privilege. The titular Wilson finds out almost twenty years later, when he takes the defense of an Italian man (himself a twin) who has been mistakenly accused of murder — and the slave's son is the culprit. In the end, after Wilson reveals the whole switch to save his client, the slave's son is formally enslaved and sold down the river, and the wife's kid is brought back into the family... but he's a Fish out of Water and not happy about it.
- P. G. Wodehouse's If I Were You.
- In "Lady Clare," a lengthy poem by Alfred, Lord Tennyson, the titular noblewoman discovers that her nursemaid Alice is actually her biological mother, who had been the nursemaid of the real Lady Clare. When the earl's daughter died, Alice switched the infants and claimed the dead baby as her own so as not to deprive the noble family of their only child.
- In Andre Norton's Witch World novel The Jargoon Pard, Kethan is switched at birth for a woman's daughter, because only a son can inherit. At the climax, this is revealed to the woman and his parents; they reveal that actually, they knew it for a long time. Kethan nearly despairs because his purported mother no longer wants him, because she can no longer use him. After the fight, however, his parents eagerly lay claim both to their biological son and the daughter they raised.
- The protagonist of Tad Williams' The War of the Flowers was born in the Magical Land, but switched at birth for a child from the mundane world in an Equivalent Exchange.
- As was the protagonist of Roger Zelazny's Madwand. In the end the two changelings end up making war on each other.
- The fantasy novel Split Heirs involves a royal set of boy/girl triplets, where the girl, and younger boy triplet were supposed to be secretly sent off to be raised by the queens brother, while the firstborn boy was to be raised to be the heir to a warrior kingdom. A mix up occurs, and the girl is raised as a prince, and becomes a fearsome warrior, while one boy becomes a shepherd, and the other a wizard's apprentice. The culture of the story thought that multiple births meant the queen had been unfaithful, which would have meant her execution. Also, a girl would not have been able to inherit the throne, so the queen kept the girl's sex a secret even to the girl herself.
- A lot of baby-shuffling occurs in Septimus Heap. The title character is pronounced dead at birth by the midwife, but she actually steals him and he ends up getting switched with her own son. Meanwhile, Septimus' father finds an abandoned baby girl, and since his wife is known to have been pregnant and they think their baby is dead, they adopt the girl and pretend she's their own daughter.
- In L. M. Montgomery's Anne of Green Gables series (Anne of Ingleside), a mean little girl convinces one of Anne and Gilbert's twin daughters, Nan, that she was switched at birth with a fisherman's daughter. The girl insists that twins always look alike, and the fact that Nan and her twin Di don't, being fraternal twins, it proves that they were switched at birth. Nan does the honorable thing and tries to switch back, only to be told by the fisherman's wife that her daughter is nearly a year older than she is, and therefore they could not have been switched. Quite relieved, Nan turns to go home and gets caught in a storm before returning safely. Anne and Gilbert are understandably upset.
- At least two instances in A Song of Ice and Fire. In A Feast for Crows, Mance Rayder's son is switched with Gilly's son in order to prevent Melisandre from taking advantage of his "royal blood" as a sacrifice to R'hllor. A Dance with Dragons reveals someone who claims to be Aegon Targaryen and survived his apparent murder due to a baby swap.
- Half's Saga: Worried that her husband King Hjor could reject her twin sons because of their ugliness (which would result in their exposure), Queen Hagny swaps them with the handsome newborn son of a serving woman. Unfortunately the false prince turns out timid while the twins are aggressive and grow much faster and stronger. When the boys are three years old, the poet Bragi correctly guesses that the prince is fake and that the twins are the true heirs, causing Hagny to come clear and swap them back.
- Ava brings Isabel her newborn baby brother to replace her own dead, deformed child in The Kingdom of Little Wounds.
- Discussed in If I Stay. Mia jokes that she thinks she was this because her family loves rock and she prefers the cello.
- In the Ancient Egyptian romance Uarda the son of a noble Egyptian is exchanged with that of a humble gardener - a fact that becomes painfully obvious to the reader long before the reveal.
- Midnight's Children has Saleem and Shiva. One was born from a wealthy family, while the other was born from a poor family; the midwife was in love with a Communist at the time, and so she switched them to echo his principles. One of them (Saleem) says he doesn't care about his true parentage, and still considers his adoptive family his true one his family. Notably, this is one of the few twists in the book that Saleem doesn't spoil in advance or even hint at. Padma feels betrayed by it as a result.
- In Life Expectancy, by Dean Koontz, two women give birth on the same night, with the same medical staff caring for them. One dies after bearing twins, the other survives the stillbirth of her child. A kindly nurse, faced with a psychotically enraged new widower - when we say "psychotically enraged", we mean "shot and killed the attending doctor" - manages to not let him find out he's the father of twins, and he removes the baby he knows about from the hospital. The other baby is switched for the stillborn child, whose mother is not yet aware her own child did not live. The switched twin becomes protagonist Jimmy Tock, while his twin is villain Punchinello Beezo.
- A subplot of Fannie Flagg's Standing In The Rainbow involves Minnie Oatman (of the Oatman Family Gospel Singers)'s baby being inadvertently switched at the hospital with that of a local socialite. While the Oatmans are plump and gregarious, Betty Ray is slender and painfully shy.
Live Action TV
- The premise of the Drama TV Series Switched at Birth, which is about two teenage girls, Bay Kennish and Daphne Vasquez, who were switched at birth.
- In the Brazilian Soap Opera Por Amor, a mother switched her newborn for the dead baby of her first daughter. The mother did it in order to relieve the bad news that her daughter became sterile through her difficult birthing. When the daughter, the daughter's husband, and the mother's husband (the baby's father) found out, they were less than pleased.
- An episode of Dinosaurs revolved around the possibility that Baby Sinclair had been Switched At
BirthLaying. It's heavily implied that this is in fact the case (the other baby is even green, like the rest of the family) but of course he ends up remaining with the Sinclair family.
- Home and Away where we learn Jade was accidently swapped with another baby, who turns out to be identical to Jade's (previously though to be) fraternal twin Kirsty
- On Road to Avonlea (broadcast in the U.S. as simply "Avonlea"), Felicity and her friend Sally were born on the same day with the same flighty doctor present. When they harass her about not having a mother, Sarah forges a letter from the doctor confessing to switching the babies by accident. Aunt Hetty catches on, but first suggests that they switch the girls back, since the mothers had earlier made a big point of her not being able to understand motherhood, having never given birth.
- Veronica Mars contains an example. Veronica discovers that her friend Mac was switched at birth with Madison Sinclair. When the mistake was discovered several years later, the hospital paid a substantial amount of money to both families, but the parents decided to keep the babies they were raising. Madison's parents managed to get rich, while Mac's father's business venture failed. Madison's mother is interested in getting to know her biological daughter, but Mac's parents aren't.
- One Life to Live is the baby switch headquarters of American soaps. In the early 80s, Karen Wolek switched her sister's dead baby for a living one, a switch that went on for years. Later, Gabrielle switched Alicia's dead baby with Brenda's living son. In 2004, a major Crossover with All My Children saw Kelly from OLTL raising the child of Babe from AMC, who in turn had best friend Bianca's baby. The most recent involves Bess, an alternate personality of Jessica, who switched Jessica's dead baby for Starr's.
- Happened in an episode of Ghost Whisperer, where the ghost of the week discovers she'd been switched at birth shortly after her death, and plans to tell the girl she was switched with, despite both their parents not wanting her to know.
- This trope is what prevents straight Brother–Sister Incest in the Korean drama Autumn In My Heart: the main couple were raised as biological siblings, and in their teenage years, when their feelings become muddy, it's revealed that she was inadvertently exchanged with another baby girl because her older brother, a toddler back then, entered in the nursery and exchanged the name tags.
- Done on Neighbours when Bree is revealed to have been switched with another baby at birth.
- On The Dick Van Dyke Show episode "That's My Boy?!" Rob was convinced that Richie had been switched with another baby at the hospital, because the the hospital kept confusing Richie Petrie with Richie Peters (delivering the wrong flowers etc.) and baby Richie didn't look like either parent. That is, until he met the Peters family, who were black resulting in one of the longest laughs in TV history.
Rob Petrie: Why didn't you tell me on the phone?Mr. Peters: And miss the expression on your face? He's played by Greg Morris, later known for his work as Barney Collier on Mission: Impossible.
- The end scenes had Rob say the Peters' son, Jimmy is a straight-A top student, while Richie...isn't. He then insists, "I still think we got the wrong kid!" Laura playfully hits him with a sofa pillow.
- Castle has an episode where two babies were switched at birth because one of the fathers knew that his child had an always-fatal hereditary disease.
- Used in The Amanda Show on Moody's Point; the title character was apparently switched at birth with a child of circus performers, which the doctor explains casually to the family while eating a snack. Of course, the other side is never resolved but this was probably intentional.
- Subverted in an episode of Kenan & Kel, in which Kenan Rockmore thinks that he was switched at birth with another baby born at the same time named Kevin Rockmore. At the end, the other Rockmores are shown to be Asian-American.
- In Young Dracula, Robin has a Changeling Fantasy that centres around the idea that he and Vlad were swapped at birth. They weren't, but Ingrid fakes a diary to convince everyone that they were. Hilarity Ensues.
- Days of Our Lives does this quite frequently.
- Nicole Walker for instance switched the baby of Mia that she would adopt, with the baby of Sami Brady.
- Stefano Di Mera switched Zack Brady with J.T. Reiber.
- In The Middle, Brick was switched at birth with another baby at the hospital, so that the wrong family took care of each baby. The mistake was sorted out in a few months—no more, no less. It was of course a shock to Brick when he found out his parents' secret.
- Night and Day's Jane Harper and Della Wells, by Danny Dexter – as revenge for being driven out of town by Jane’s mother Natalie. This was the central reveal at the end of the series, since Jane had been having an affair with Della's ostensible father Alex - who in fact turned out to be her own.
- The Studio C sketch "I'm Adopted?" has Stacey (who is black) finding out from his parents, Matt and Mallory (who are white) that this happened to him, instead of being adopted like he suspected. The parents were just too stupid to notice. Turns out his biological parents are... Asian?
- Calvin's dad has once commented about how he's certain that some nurse switched the basinettes.
- Gilbert and Sullivan used (and parodied) this one frequently; it shows up in H.M.S. Pinafore (where the heroine's boyfriend is revealed to have been switched with her father, who in turn goes on to marry his former wet-nurse) and The Gondoliers (which actually involves multiple switches).
- Naturally, when Anna Russell did "How to Write Your Own Gilbert and Sullivan Opera", the plot was resolved when the contralto announced that she had accidentally switched two bassinets in the hospital nursery years before.
- Shakespeare's Henry IV wishes out loud that his wayward son Hal had been switched at birth with the honorable rebel Hotspur.
- This was a major story point in Shadow of Destiny, where the two female characters in the game (one from the past, one from the present) turned out to have been switched at birth by the "Homunculus" as part of his scheme to ensure that history turns out exactly as he wants it to.
- In Tales of the Abyss, it turns out that Princess Natalia was actually not the blood princess of Kimlasca—the real princess Natalia was stillborn, and the midwife switched the infant with Meryl, her daughter's child. To make matters worse, Meryl/Natalia's real father was one of the Six God Generals, Largo the Black Lion. (Plus, her biological mother commited suicide out of grief).
- In Umineko: When They Cry, Rudolf Ushiromiya switched the babies of his wife Asumu, whose child was stillborn, and his mistress/partner Kyrie, and the child would grow up to be his son Battler. For years Rudolf was the only one who knew about this.
- Hatoful Boyfriend has Sakuya, though it's not "switched" so much as "replaced". His brother Yuuya was supposed to kill him in the egg, but held on to him, switched his egg with his purebred half-brother's, and smashed that.
- Modern, western hospitals go through extraordinary measures to prevent this from happening, after some well-publicized (and very expensive) cases that came to light with the advent of DNA testing.
- In Russia, it recently happened to two infants girls. The families still see each others frequently, and the girls still say "Mama"! when they see the other's family mother. Who miss them actually.
- One woman discovered that this happened to her father when she got her DNA tested for fun. Expecting Irish and British Islands markers, there was instead Eastern European markers in her genes, and she went on a genealogical and historical hunt to discover whether her mother had had an affair, or if she herself had been switched at birth.
- In Beyond Belief: Fact or Fiction, this story was introduced as true: A woman discovered, thanks to her premarital exam, that her blood group wasn't like her parents'. She came to the hospital with her fiancé who was born the same day and at the same place on a confusing night (New Year's Eve, during a tempest). The mess led the nurses to write the wrong sex on minute books. So she was switched at birth, with her own future husband, no less.
- As mentioned under Film, this happened to Kimberly Mays and Arlena Twigg which inspired the aformentioned TV film Switched at Birth.
- Brood parasitism is a strategy used by certain bird species, most famously the Common Cuckoo, as well as some species of bee and wasps. Cuckoos combine this with Kill and Replace. Some cuckoos push away the birds' eggs and lay their own. With others, the chick itself (which hatches earlier than the host eggs) will push the eggs out of the nest to their doom. To add insult to injury, the Cuckoo chick is usually much larger than even its "parents" which means they have to struggle to feed it.
- Inverted in the case of Patricia Noonan and Shawn Lake, two similar-looking teen girls who were involved in a car crash. Lake died and Noonan was in a coma; Noonan's parents were informed that their daughter had died and Lake's that theirs was in a coma.
- A similar case happened with Laura Van Ryn and Whitney Cerak in 2006. After a horrific car accident, Whitney and Laura were misidentified and the mix-up was not discovered for five weeks. Whitney Cerak was believed dead, and was alive; Laura Van Ryn's family had thought that the girl they had cared for was actually Whitney. A book, Mistaken Identity, was written about the event.
- In Columbia, two pairs of identical twins were switched and raised as fraternal twins.