In adoption, there are always questions of reproductive choice and the potential for coercion. There are the overlapping issues of unplanned pregnancy, of infertility, of family formation for non-heteronormative families, of the rights of a pregnant person and of a child. There are families being created, and families being separated – and people adapting to new, lifelong identities in these roles altered by adoption. And much of this happens, more often than not, with a sense of limited opportunity for the pregnant person, socioeconomic and financial disparities at play, and a long shadow of stigma and secrecy shrouding it all. This is at the core of reproductive justice: how do we support all people in creating the families that they want in their lives? Adoption must be central to this conversation.