Abortion trail activists are national and transnational organizations and movements that enable access to safe abortion - this book adopts a global perspective to explore their historic contribution to reproductive justice, their innovative work, and the continuing and emergent problems they face. Deirdre Duffy offers the first dedicated analysis of both the historic and on-going relationship between groups supporting access to abortion and abortion politics, drawing on theoretical perspectives and debates including post-colonialism, feminist anarchism and health activism. Challenging assumptions about the achievements of pro-choice politics, Duffy examines the race-based exclusions within and created by dominant historic pro-choice narratives, critiquing the prochoice movements' whiteness, and the limitations of a focus on legal change. Case studies are drawn from across the Global North and South, including examples from Argentina, Kenya, Poland, the Netherlands, and Ireland.