Soon to turn 60, the oral contraceptive pill still dominates histories of technology in the 'sexual revolution' and after. 1 'The pill' was revolutionary for many, though by no means all women in the West, but there have always been alternatives and looking globally yields a different picture. 2 The condom, intra-uterine device (IUD), surgical sterilization (male and female) and abortion were all transformed in the twentieth century, some more than once. Today, female sterilization (tubal ligation) and IUDs are the world's most commonly used technologies of contraception. The pill is in third place, followed closely by the condom. Long-acting hormonal injections are most frequently used in parts of Africa, male sterilization by vasectomy is unusually prevalent in Britain, and some one in five pregnancies worldwide end in induced abortion. Though contraceptive use has generally increased in recent decades, the disparity between rich and poor countries is striking: the former tend to use condoms and pills, the latter sterilization and IUDs. 3