Should we become parents? This timeless question forces us to reckon with who we are and what we love and fear most in ourselves, in our relationships, and in the world as it is now and as it will be. When Gina Rushton admitted she had little time left to make the decision for herself, the magnitude of the choice overwhelmed her. Her search for her own “yes” or “no” only uncovered more questions to be answered. How do we clearly consider creating a new life on a planet facing catastrophic climate change? How do we reassess the gender roles we have been assigned at birth and by society? How do we balance ascending careers with declining fertility? How do we know if we’ve found the right co-parent, or if we want to go it alone, or if we don’t want to do it at all? To seek clarity on these questions, Rushton spoke to doctors, sociologists, economists, and ethicists, as well as parents and childless people of all ages and from around the world. Here, she explores and presents policies, data, and case studies from people who have made this decision—one way or the other—and shows how the process can be revelatory in discovering who we are as individuals. Drawing on the depth of knowledge afforded by her body of work as an award-winning journalist on the abortion beat, Rushton wrote the book that she needed, and we all need, to stop a panicked internal monologue and start a genuine dialogue about what we want from our lives and why.