In 2019, about 84 000 medical and surgical abortions were reported to the Canadian Institute of Health Information. 1 One-third of women in Canada will have an abortion in their lifetime. 2 According to our first Canadian Abortion Provider Survey (CAPS) in 2012, abortion care was provided by fewer than 300 physicians, many of whom focused their practice on abortion care. 3 In contrast with rates greater than 80% in many European countries, 4-8 fewer than 4% of abortions were medical. 9 Procedures were provided by high-volume providers in specialized health care clinics, with limited access in rural areas. 3,10,11 In 2016, the United Nations Human Rights Commissioner expressed concern over inequitable access to abortion services in Canada, and called on the Canadian government to improve equitable access. 12 Several important health system and service changes have occurred since then. In 2017, mifepristone, the gold-standard medical abortion drug, 13 became available in Canada. [14][15][16] Restrictive regulations around prescribing and dispensing mifepristone were removed later that year. 17 Evidence supporting the effective and safe provision of medical abortion using mifepristone by a range of primary health care professionals 18,19 led to Health Canada's approval of provision of medical abortion by nurse practitioners. 20 The Society of Obstetricians and Gynaecologists of Canada issued evidencebased clinical practice guidelines on medical abortion in 2016 13 and on surgical abortion in 2018. 21