Family physicians are uniquely situated to provide comprehensive family planning services to millions of patients who seek primary care services annually. This chapter discusses the landscape of and opportunities for expansion of training for family physicians in contraception and abortion. A growing number of “opt-out” family medicine residency training programs have integrated comprehensive contraceptive and early abortion training into their curricula.These programs train within the primary care, patient-centered medical home, although training at neighboring high-volume family planning clinics is often necessary to achieve adequate procedural volume. Experiences with establishing these programs highlight the importance of strong support from obstetrician-gynecologist colleagues and other stakeholders. The benefits of training include family medicine residency graduates providing a broader range of services to patients upon graduation, having more comfort with pregnancy options counseling and understanding better systems-based practice. The expansion of family medicine training programs is necessary if family physicians are to provide integrated care across the life course.