This paper presents the results of in-depth interviews with ten clandestine
abortion providers in urban Latin America. Three related issues are addres
sed: how abortion providers come to this line of work; their major difficul
ties; and their sources of job satisfaction. A variety of paths bring healt
h professionals to the practice of abortion; common elements are a sense of
calling, a desire to help women, personal experience with abortion, and a
commitment to political change. Providers describe difficulties that includ
e a lack of medical support, the need for secrecy, and threats of violence,
extortion, and prosecution. In spite of difficulties, all providers report
a great deal of fulfillment in their work, based on their satisfaction in
saving women's lives, maintaining supportive relationships with colleagues,
and empowering women.