This article sheds light on the increasing rate of conscientious objection in the healthcare sector. As many international actors suggest, safe abortion guarantees a more comprehensive protection of women’s sexual and reproductive rights. In this context, the refusal performed by the health care workers is able to dramatically halt the benefits correlated to the legalization of abortion, especially in the developing countries. More specifically, this article investigates the role of conscientious objection among the health personnel in South Africa. As supported by the literature, the abortion reform in South Africa has been highly progressive. However, this legislation has been facing a number of legal challenges. Besides, the widespread unwillingness of the health providers to provide abortion services in the designated facilities dramatically undermine all the accomplishments made in terms of reproductive rights and gender equality in South Africa.