Astronomers are now able to detect planets orbiting stars other than the Sun where life may exist, and living generations could see the signatures of extra-terrestrial life being detected. Should it turn out that we are not alone in the Universe, it will fundamentally affect how humanity understands itself-and we need to be prepared for the consequences. A Discussion Meeting held at the Royal Society in London, 6-9 Carlton House Terrace, on 25-26 January 2010, addressed not only the scientific but also the societal agenda, with presentations covering a large diversity of topics.