One-third of women in the UK will have an abortion before their 45th birthday. Yet the midwife’s role in pregnancy choice counselling, abortion provision and support of women’s decisions remains a taboo. This opinion piece calls for an open conversation around termination of pregnancy and a better understanding among midwives of abortion as a medical procedure. Recognising the global impact of unsafe abortion, the author rallies the midwifery profession to take a clear pro-choice stance and demand the decriminalisation of abortion in the UK.