Abortion in Luxembourg was liberalized on 15 November 1978. Within the first twelve weeks of pregnancy, a woman who determines herself to be "in distress" can obtain an abortion after two consultations with a doctor, one medical and one psycho-social, and a waiting period of three to seven days. After the first twelve weeks, an abortion can only be obtained when two doctors certify there is a danger to the mother and fetus. Underage patients must be accompanied by a trusted adult to the meetings and the procedure itself. Abortions may be performed in hospitals, clinics and a doctor's surgery.
Before reforms passed in 2012, only a doctor could determine if a woman was "in distress". Abortions in the first twelve weeks were only permitted in the event of a physical or mental health threat to the mother, a serious risk that the child will be born with a serious disease or serious defects, or a pregnancy resulting from rape. Underage patients needed to obtain parental consent for an abortion, and abortions could only be performed in hospitals and clinics.
Due to religious reasons, many doctors in Luxembourg generally do not perform abortions. Doctors who choose not to conduct an abortion, or are incapable of doing so, are required to refer the patient to another medical practitioner under the 2012 law.