Book excerpt: After the revolution of 2011, the electoral victory of the Islamist party ‘Ennahdha’ allowed previously silenced religious and conservative ideas about women’s right to abortion to be expressed. This also allowed healthcare providers in the public sector to refuse abortion and contraceptive care. This book explores the changes and continuity in the local discourses and practices related to the body, sexuality, reproduction and gender relationships. It also investigates how the bureaucratic apparatus of government healthcare facilities affects the complex moral world of clinicians and patients.