Sometimes problems are caused by a problem with entire chromosomes, not just the genes contained on them
Nondisjunction
Homologous chromosomes don't separate properly during meiosis, so offspring has an extra or missing chromosome
Can also occur in sex chromosomes
Extra 23rd (XXY) = Klinefelter syndrome
Missing 23rd (X) = Turners syndrome
Effects can be severe or deadly
Trisomy
Extra (3rd) copy of an autosomal chromosome
Extra 21st chromosome = Down Syndrome