For decades, people have effectively self-managed their abortions without the supervision of a health care professional. Self-managed abortion (SMA) offers an alternative model of care that can serve people living in both restrictive and more liberal legal settings. SMA has been recognized for its potential not only to reduce harm caused by abortion restrictions, but also to contribute to personal agency and reproductive freedom, shifting power away from the formal medical system and into the hands of women and other pregnant people.