The Supreme Court decision taking away the constitutional right to an abortion is having a profound impact on women and their health. The SXSW panel entitled “The Post-Roe Fertility Journey” discussed the real world implication of the Dobbs decision, innovation in women’s reproductive technologies, and the challenges of meeting regulatory requirements and finding financing. LifeSci Communications asked me to moderate the conversation among Amy Divaraniya of Oova, Kathy Lee-Sepsick of Femasys, and Dr. Cindy Duke of the Nevada Fertility Institute. It was an exceptionally informative exchange.