Most women use family planning services during their reproductive lifetime, but many lack ready access to such services, particularly in a rural area. The aim of this study was to document and thus develop an understanding of the facilitators and barriers to accessing three types of family planning services (emergency contraception, termination of pregnancy, and options counselling) within a particular rural area of Victoria, Australia, and how these might affect women's psychosocial health and their ability to make timely decisions about continuation of a pregnancy. A feminist framework was adopted throughout the study, and qualitative methods were employed in the design. Eleven professionals whose current employment was connected to family planning service provision participated in semistructured interviews that focussed on their perceptions and experiences of women's access to family planning services in the Grampians Region of Victoria. Findings from a thematic analysis confirmed that rural women face many barriers identified in past Australian and international research, including lack of local services, distance from metropolitan services, anonymity and confidentiality issues, and judgemental service providers. Further issues raised included the legal status of pregnancy termination, rural culture, gender relations, and family planning myths and misinformation. Women confronting these barriers were seen to experience negative psychosocial effects which can compromise timely decision-making.This study highlights the complexity of women's reproductive "choices", and includes recommendations for the design of plausible interventions and reproductive health promotion strategies to address the barriers identified and facilitate women's access to family planning services as a human right.