Following passage of the Mexico City law that legalized elective first-trimester abortion in April 2007, the Mexico City Ministry of Health (MOH) established of the country’s first legal abortion program, which has served over 40,000 women and is considered the model for the region. The national Supreme Court in August 2008 to upheld the constitutionality of the Mexico City abortion law. This study examined the processes that followed passage of abortion law reforms from a patients perspective.