Forced sterilisation has been used by many states to control or diminish minority groups. Historic examples of forced sterilisation include those conducted by the Nazis, acting against Jewish, Roma and Sinti peoples, and the Imperial Japanese Army in Korea during the Second World War, its historic use against Native Americans in the USA, and more recent practice in Peru and in First Nations people in Canada. Although it is prohibited under international criminal law, forced sterilisation often involves medical practitioners, with little reflection on the context and drivers of such violations being demonstrated within the profession. This article sets out the historic and contemporary struggles for accountability and redress for forced sterilisation, focusing on the role of medical practitioners in such violations. Drawing from interviews conducted in Peru in May 2019, the article also suggests new ways of establishing reparations and offers a critical reflection of ethics for medical practitioners and their role in redress.