Abortion law in Portugal changed for the better in 2007, when the country voted to fully legalize abortion up to 10 weeks. And what’s more, it’s now fully integrated into the national healthcare system.
I know reproductive rights are top of mind for many US citizens at the moment. In the process of helping people relocate to Portugal, we’ve guided many clients through understanding their healthcare options here.
Let’s break down everything you need to know about abortion law in Portugal.
Abortion law in Portugal – an overview
Before 2007, Portugal’s abortion laws were among Europe’s most restrictive, reflecting the country’s conservative Catholic traditions.
Abortion was only legal in limited circumstances: when pregnancy posed serious health risks, in cases of severe fetal abnormalities, or when pregnancy resulted from rape.
Even in these cases, women faced significant bureaucratic hurdles. They often encountered doctors who refused care based on religious grounds. This led to dangerous illegal procedures and criminal prosecutions of both women and healthcare providers.
But that changed dramatically with a national referendum where Portuguese voters chose to fully legalize abortion up to 10 weeks. Since then, Portugal has transformed into one of Europe’s most stable countries for reproductive rights.
Why share this history? Because it shows something important: when Portugal makes progress on social issues, it sticks.
Unlike the US, where rights can be reversed by court decisions, Portugal’s abortion law has only grown stronger since 2007. The law is supported by all major political parties and backed by the broader EU framework for human rights.
Current legal framework for abortion in Portugal
The law governing abortion in Portugal is Law No. 16/2007, which was passed on April 17, 2007. This law legalized abortion under certain conditions, following a 2007 referendum where a majority of Portuguese voters supported decriminalizing abortion.
| Grounds for Abortion | Gestational Limit |
|---|---|
| Risk to the life or health of the woman | Up to 24 weeks |
| Fetal abnormality or serious malformation | Up to 24 weeks |
| Pregnancy resulting from rape or incest | Up to 16 weeks |
| Request of the woman (without specified reason) | Up to 10 weeks |
| Risk of severe psychological harm to the woman | Up to 16 weeks |
There’s no need to provide a reason for your choice, though you’ll need to follow a mandatory 3-day reflection period. But don’t worry, it’s straightforward and designed to make sure you have all the information you need.
What makes Portugal’s system particularly accessible is that both surgical and medical options are available, and if you’re 16 or older, you don’t need parental consent.
Many of our American clients are surprised by how straightforward and judgment-free the process is here. The medical staff are usually very professional, and the system respects your privacy.
The reality of abortion access in Portugal
Let me be completely honest about abortion access in Portugal – both the good parts and the challenges. Abortion rights here are strong and stable, but no system is perfect.
First, the foundation is solid: abortion rights in Portugal aren’t tied to election cycles or changing political winds. They’re protected by law and supported by the broader EU framework. Once you’re set up here, you won’t have to worry about suddenly losing access like many Americans are experiencing now.
That said, there are some frustrations you should know about. The public system can be slow – while you’ll always be seen within the legal time limit, initial consultations might take up to three weeks to schedule. That’s why many people opt for private clinics, where you can usually get an appointment within a few days.
Location matters too. Major cities have multiple abortion providers, but rural areas have fewer options. If you’re planning to live in the interior or smaller towns, you might need to travel to a larger city.
The language barrier can be real. Yes, abortion providers in major cities often have English-speaking staff, but you might need to be persistent about requesting an English-speaking doctor. Keep in mind that translation services are always available, but you may find them unsuitable for such a private matter.
Then there’s Portuguese bureaucracy. Getting set up in the public health system (SNS) requires patience and paperwork. Some of my clients have spent months getting their SNS number sorted out.
And while Portugal’s abortion law is progressive, the 10-week limit is shorter than some other European countries (like the Netherlands at 22 weeks or the UK at 24 weeks). This means you need to act quickly once you’ve made your decision.
Abortion beyond the 10th week is only allowed under specific conditions, such as risks to the woman’s health, fetal abnormalities, or cases of rape. These procedures are also covered by the SNS.
On the cost front, while expenses are much lower than in the US, private abortion care isn’t cheap if you’re not yet in the public system.
You’ll need to budget €200-500 for private care, plus potentially more for travel and accommodation if you’re not near a major city. But once you’re in the public system, the procedure is fully covered.
Despite these challenges, I still see Portugal as a reliable choice for guaranteed abortion access. The system isn’t perfect, but it’s stable and continuously improving. Recent years have seen more English-speaking services added and wait times gradually improving in many areas.
Most importantly, there are no protesters outside clinics, and no political debates about restricting access.
Your right to choose is protected by law – and that peace of mind means everything to many of my clients who’ve left the US specifically for this reason.
Who can access abortion services?
This is one of the most common questions I get from people planning their move to Portugal.
The good news is that abortion access is broad and inclusive. If you’re a Portuguese resident with an SNS number, you’re fully covered under the public system. EU citizens can use their European Health Insurance Card, while private insurance covers the procedure at many clinics.
One question that often comes up is about temporary residents and tourists. Yes, you can access services regardless of your immigration status, though costs will vary depending on your situation.
“But what if I don’t speak Portuguese?” I hear you ask. Don’t worry – we’ve got you covered on that front too.
Step-by-step process (what to actually expect)
Let me walk you through exactly what happens when you need these services in Portugal. I’m sharing this based on a real experience from one of my clients (with their permission, of course!).
The process normally starts with booking an appointment through either your local health center (Centro de Saúde) or a private clinic. You’ll need your ID and SNS card if you have one.
The initial consultation is with an OB-GYN who will provide comprehensive information about your options. If you’re worried about the language barrier, here’s some good news: translation services are available – just request this when booking your appointment.
After your consultation comes the three-day reflection period required by law. This isn’t meant to pressure you – it’s simply time to process the information you’ve received, ask any follow-up questions, and make practical arrangements like sorting out work leave or transportation.
When it comes to the procedure itself, you’ll have a choice between medical or surgical options. Medical abortion (“the abortion pill”) can be done at home with proper support and guidance, while surgical procedures are handled as day appointments. Both options include comprehensive follow-up care, and pain management is readily available.
Here’s something I wish everyone knew: Portuguese doctors are used to treating international patients. You won’t be the first English speaker they’ve helped, and many clinics in major cities have English-speaking staff.
Public vs. private healthcare options
If you’re using the public healthcare system (SNS), abortions are completely free for residents, with only a small administrative fee (less than €10) for some services. The trade-off is that you might experience longer wait times, but the service is available in all major hospitals.
For those who prefer private care, expect costs between €200-500. Private clinics typically offer shorter wait times and are more likely to have English-speaking staff.
They’re often located in city centers, making them easily accessible. Quick tip: If you’re still waiting for your SNS number, private clinics can be a great option – they’re still much more affordable than US healthcare (and abortion isn’t under political threat in Portugal).
Documentation and appointments
Portugal’s healthcare system is well-organized, even if it might seem confusing at first. Let’s look at exactly what paperwork you’ll need and how to get everything set up.
First, getting the first appointment scheduled is easier than you might think. If you’re going through the public system (SNS), you can book directly through your local health center.
Many centers now have online booking systems, but I find it’s often quicker to call or go in person, especially if you’d like an English-speaking doctor.
For the appointment itself, you’ll need:
- Your identification (passport or residency card)
- SNS number (if you have one)
- Any relevant medical history or current medication list
- Insurance card (for private clinics)
Now, here’s a tip I always share with my clients: take a photo of your documents and keep them in a secure folder on your phone. Portuguese healthcare providers are generally fine with digital copies, and it’s always good to have a backup.
Speaking of language barriers (because I know this is a big worry for many of my clients), let me put your mind at ease. Most medical facilities in larger cities like Lisbon, Porto, and the Algarve region will almost certainly have staff who speak English.
Your medical privacy is taken very seriously here in Portugal – something that often surprises my American clients.
Your records are protected under strict EU privacy laws, and healthcare providers cannot share information about your care without your explicit permission. This includes any communication with your employer or family members.
A quick note about timing that I wish someone had told me when I first started helping clients navigate the system: while you can usually get an initial appointment within a few days, it’s good to build in some extra time for the whole process.
Between the mandatory reflection period and potential follow-up care, you’re looking at about two weeks from start to finish. Plan accordingly, especially if you’re working or have other commitments.
Abortion support resources list
Something I’ve learned from helping people relocate to Portugal is that having the right support network makes all the difference.
The medical side of things is straightforward here. But sometimes you need a bit more than just clinical care – and that’s completely normal.
Mental health support
Portuguese healthcare takes a holistic approach, and mental health support is built right into the process.
During your first appointment, you’ll be offered the option to speak with a counselor – this isn’t mandatory, but it’s free and available if you’d like it. Private English-speaking therapists are also available in major cities, typically charging between €50-80 per session.
Language assistance
Remember what I said about not letting language be a barrier? Here’s where I get specific. The SNS provides free interpreters for medical appointments – you just need to request one when booking.
But I’ve also got some great resources for you:
- ILGP (Instituto de Língua e Cultura Portuguesa) – Offers medical terminology workshops
- Medical Translation Hotline: +351 808 257 257 (available 24/7)
- SNS English Language Support Line: +351 808 24 24 24
Women’s health organizations
Portugal has several organizations dedicated to women’s health and reproductive rights. These groups can be incredibly helpful, especially when you’re new to the country:
- APF (Associação para o Planeamento da Família) – Think of them as Portugal’s Planned Parenthood
- Women’s Health Portugal – An English-speaking support network
- Linha Opções – A confidential helpline specifically for reproductive health questions
Transportation and practical support
Here’s something many people don’t think about until they need it: how to get to and from appointments. Many clinics can help arrange transportation, and there are volunteer networks that provide free rides – just ask during your initial consultation.
Online communities
I’ve seen firsthand how valuable peer support can be. There are several active online communities in Portugal where women share their experiences and advice:
- Women of Lisbon (private Facebook group)
- Lisbon Girl Gone International (private Facebook group)
- The Lisbon Sisterhood (private Facebook group)
These groups are goldmines of information from people who’ve been exactly where you are. Just remember – while they’re great for support and general advice, always verify medical information with healthcare professionals.
Healthcare provider list: Where to go
Let’s talk about where you can actually access these services in Portugal.
Public hospitals
The main public hospitals in Portugal’s major cities all provide reproductive healthcare services. In Lisbon, Hospital Santa Maria and Hospital São Francisco Xavier are your primary options.
Both have excellent reputations, and I’ve had several clients praise their professional, caring staff. In Porto, Hospital de São João is the main facility – they even have a dedicated international patient office.
These hospitals might look a bit dated compared to what you’re used to in the US, but don’t let that fool you. The medical care is top-notch, and the staff are highly trained. Plus, they’re used to working with international patients.
Private clinics
If you prefer private care, you’ve got some great options.
The CUF network of private hospitals (particularly CUF Descobertas in Lisbon and CUF Porto) offer reproductive services with English-speaking staff and modern facilities.
They typically have shorter wait times than public hospitals, and many of my clients appreciate their more hotel-like atmosphere.
In the Algarve region, Hospital Particular has locations in both Faro and Portimão. They’re particularly good with international patients –practically everyone there speaks English, and they’re very familiar with helping expatriates.
Women’s health centers
Looking for something more specialized? The APF (Associação para o Planeamento da Família) operates dedicated women’s health centers in several cities.
These centers offer a more intimate setting than large hospitals, and their staff are particularly experienced in reproductive healthcare. They’re my go-to recommendation for clients who want a more personalized experience.
Emergency options
Abortion services typically don’t require emergency care, but it’s good to know your options. Every major hospital has a 24-hour emergency department (Urgência), and yes, they’re equipped to handle reproductive health emergencies.
Save this information in your phone:
- National Emergency Number: 112 (like 911 in the US)
- SNS 24 Health Line: 808 24 24 24 (English available)
Location strategy
When choosing where to access services, consider more than just the nearest option.
Also think about:
- Transportation access (Is it near a metro or bus line?)
- Language services (Some facilities have more English speakers than others)
- Wait times (Private clinics generally have shorter waits)
- Follow-up care convenience (You’ll need to visit the same facility for check-ups)
Remember, you’re not locked into using the closest facility – you can choose any provider in Portugal that suits your needs best.
Common questions about abortion access in Portugal
In helping Americans move to Portugal, these are the questions we get asked most often.
Roe v. Wade got overturned, could something similar happen in Portugal?
No. Abortion rights in Portugal are protected not just by national law but also supported by EU human rights frameworks.
There’s no judicial mechanism to suddenly overturn these rights, and there’s no significant political movement trying to restrict access. The 2007 law that legalized abortion was passed by referendum, and has only been strengthened since then.
What happens if my state restricts travel for abortion care?
Once you’re a resident of Portugal, you’re protected by Portuguese and EU law. US state laws can’t affect your healthcare choices here. Many of my clients have found this particularly reassuring – when you’re here, you’re under Portuguese jurisdiction.
Do I need to be a permanent resident to access abortion care?
No. While public system coverage requires residency, private clinics will provide care regardless of your status. Even tourists can access services. You’ll pay more, but you won’t be turned away.
What if I don’t speak Portuguese yet?
You’ll be fine, especially in private clinics and major cities. If you need language support, it’s provided free. But here’s a tip: when booking, try to specifically request an English-speaking doctor rather than relying on translation services. It makes the experience more personal.
How much does it actually cost?
- With SNS (public healthcare): Just the basic user fee (less than €10)
- Private clinics without SNS: €200-500 with an initial consultation fee: €50-80
- Follow-up care: Included in both systems
Will my US insurance work in Portugal?
Most US insurance plans don’t cover routine care in Portugal. But if you have international coverage, private clinics will often work directly with your insurance. For residents, I recommend getting into the SNS system as soon as you receive your residency permit.
What about privacy? Will my family or employer find out?
Medical privacy laws in Portugal are actually stricter than in the US. Healthcare providers can’t share your information without your explicit consent – not with employers, family members, or even other doctors without your permission. Your medical records are protected under EU privacy laws.
Is there any mandatory counseling or waiting period?
There’s a three-day reflection period, but it’s nothing like US state laws. No one tries to change your mind. No mandatory videos, no required counseling, no images to look at. The time is yours to use as you choose.
What if something goes wrong? Do I need someone with me?
While complications are rare, Portugal’s healthcare system provides comprehensive emergency care. You don’t need to formally designate someone, but having a support person is always a good idea. Many clinics can help arrange this through support networks if needed.
Will seeking abortion care affect my residency application or status?
Absolutely not. Medical procedures have no impact on immigration status, and this information is protected under privacy laws. Immigration officials can’t access your medical records.
I keep hearing about the 10-week limit. What if I’m past that?
Portugal’s limit is 10 weeks, but there are exceptions for medical reasons, and the healthcare system can refer you to other EU countries with different timeframes if needed. The key is to seek care promptly once you’ve made your decision.
The most important thing to know is that once you’re here, your right to choose is protected under Portugal’s abortion law.
Next steps: Making your move to Portugal
The decision to move abroad is never just about one issue. But for many US citizens, knowing that their fundamental healthcare rights are protected brings tremendous peace of mind.
Portugal’s healthcare system isn’t perfect, but it offers stability and certainty about your right to choose.
As we’ve covered, abortion access here is:
- Protected by law and supported by broad public consensus
- Available through both public and private healthcare systems
- Affordable and straightforward to access
- Free from the political uncertainty we’re seeing in the US
But Portugal offers more than just healthcare security. It’s a country that consistently ranks among the safest in the world, offers an excellent quality of life, and welcomes foreigners.
Ready to explore your visa options? Our resources can help you understand which path might work best for you:
- The D7 visa for passive income
- The D8 visa for remote workers and ‘digital nomads’
- The D2 visa for entrepreneurs and business owners
- The HQA visa for entrepreneurial research
- The Golden Visa for investors
Each of these pathways can lead to permanent residency and eventually Portuguese citizenship, giving you long-term security not just for healthcare rights, but for all aspects of your life.
Want to learn more? We’ve helped hundreds of US citizens make this move. Request a consultation to discuss your specific situation and find out which pathway best fits your circumstances. Together, we’ll create a plan that ensures your rights and your future are protected.
The best time to start planning your move is before you need it. Let’s talk about making Portugal your plan A.
