Rural women's access to abortion services are impacted by the availability, accessibility and affordability of services and prevailing negative social attitudes. This exploratory study provides a snapshot of women's experiences of the process of seeking an abortion in rural NSW, where they are not available locally and women have to travel out of the area to access services. Findings indicate rural women experience multiple barriers in relation to their ability to access abortion services and follow-up care, which may impact on overall health outcomes.