Number of Abortion Centers in America Has Declined 4 Years in a Row

For the fourth year in a row, the number of abortion clinics in America continues to decline. In 2021, just before the fall of Roe, Operation Rescue’s annual survey revealed the highest number of abortion clinics in five years, counting 718 across 50 states. At the close of 2025, that number is 657 across just 37 states, an 8.5% decrease in just four years.

Operation Rescue President Troy Newman comments, “That 8.5% may seem a small number; however, our opponents know it represents the strong and steady progress of the pro-life movement. Inch by inch, we are winning solid ground for children in the womb. Small numbers over time can have a significant impact. And, right now, 26% of the United States is abortion free.”

This progress is made even more evident in the comparison of clinics that existed in 1991, numbering 2,176 across the nation, to the number that remains today. A total count of 657 abortion clinics in 2025 shows a whopping 70% decrease in less than forty years.

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In the last five years alone, 245 abortion clinics have closed.

2025 In Focus

A record 54 clinics closed or halted abortions this year, the highest number of closures since 2022, when Operation Rescue verified 88 closures following the fall of Roe. Of those 54 closures, 36 (67%) were pill-only clinics, and 18 (33%) were surgical clinics.

It is also worth noting that 67% of all closures were Planned Parenthood facilities.

Operation Rescue also documented 44 clinics that opened or resumed abortions this year. The breakdown was nearly fifty-fifty, with 23 (52%) opening or resuming as pill-only clinics, and 21 (48%) opening or resuming as surgical clinics.

The Virtual Back-Alley

Operation Rescue has continued to survey virtual-only suppliers, a separate category from brick-and-mortar abortion clinics. This dangerous trend experienced a slight reduction in abortion pill peddlers. After almost tripling in number between 2023 and 2024, virtual suppliers showed a small net loss of 4 suppliers in 2025, dropping from 58 to 54 in number.

To break that net loss down a little more succinctly, 10 online providers closed down, either permanently or temporarily, while 8 more expanded to in-person chemical abortions committed in brick-and-mortar buildings. This expansion moved them from the “virtual-only” category to the “brick-and-mortar” survey. Meanwhile, 14 new virtual back-alley abortion operations cropped up or resumed selling abortion pills after halting in 2024. Of those 14, eight were Planned Parenthood virtual clinics (57%), showing the abortion giant is attempting to expand its profits from mail-order pills, likely to make up for recent losses in funding.

Though counted separately, when rolled into the total number of abortion clinics in America, virtual suppliers make up 7.6% of places women might seek first-trimester abortions in the nation, a minor decrease from 2024, when virtuals would have made up 8% of places women might seek first-trimester abortions.

Since Operation Rescue has only been tracking various data points on virtual suppliers since 2022, it is difficult to determine if this represents the beginning of a downward trend. Medical abortions currently make up over 60% of all abortions in America – a 10% increase since 2020. Virtual suppliers are suspected of contributing significantly to this sudden jump.

The most alarming change in virtual suppliers is the number brazen enough to offer abortion pills in all 50 states, regardless of state laws that legally protect children in the womb. While only 4 of these back-alley operations were willing to break laws in abortion-free states in 2024, there are now 7 online abortion peddlers willing to risk mailing abortion pills across state lines, even when it is illegal to do so. These include:

• A Safe Choice Network
• Abortion Pills in Private
• Aid Access
• Cambridge Reproductive Health Consultants
• Choices Rising
• We Take Care of Us
• WomenOnWeb

In addition, at least two virtual suppliers expanded abortion pills by mail to a large swath of new states in 2025, one adding as many as 13 states to its previous list.

“These virtual suppliers have undoubtedly been emboldened by the FDA’s reckless removal of nearly every safeguard for the abortion drug mifepristone,” says Newman. “With no overhead, no liability, and no respect for life or the law, the ‘Virtual Back-Alley’ is making money hand over fist – while women get injured or die, and while preborn children with legal protections in pro-life states are murdered. The FDA cannot keep ignoring the horrific course chemical abortions are taking.”

Clinic Market Share: Planned Parenthood v. Independents 

Planned Parenthood appears to be struggling to keep its hold on the market share of brick-and-mortar abortion clinics nationwide this year, dropping from 58.2% in 2024 to 56.5% in 2025 – likely due to the record number of Planned Parenthood closures and the abortion giant’s continued loss of funding and support.

Of the total number of brick-and-mortar closures, Planned Parenthood racked up well over half, a total of 67%. And, for the clinics that either opened, reopened, or resumed abortions, Planned Parenthood only made up 43%. This represents a clear reversal of last year’s numbers, when Planned Parenthood made up only 45% of closures and an overwhelming 70% of openings.

Additionally, Planned Parenthood experienced a 5% decline in its market share of pill-only clinics, dropping from 78% of all pill-only clinics in 2024 to 73% in 2025.

Perhaps to compensate for those losses, Planned Parenthood has significantly expanded its market share of virtual suppliers. Making up just 33% of virtuals in 2024, Planned Parenthood has increased that hold by ten, now representing 43% of virtual suppliers. In fact, Planned Parenthood accounts for over half of the new virtuals uncovered in 2025 (57%).

Planned Parenthood has also remained America’s most well-funded abortion giant. Though finally facing historic Medicaid cuts in 2025 under the Trump administration, Planned Parenthood’s most recent annual report shows it received $792 million in taxpayer funds in fiscal year 2023-2024. That is a $100 million increase from the previous fiscal year – and a direct result of the previous Biden administration’s radical abortion agenda.

“Witnessing Planned Parenthood go from an increase of $100 million in government funding under Biden to being rightly stripped of Medicaid by President Trump shows Americans more than ever that elections have deep consequences – especially for the preborn,” Newman comments.

“The Biden/Harris administration pushed some of the most radical abortion policies America has ever seen, with Kamala Harris bought and paid for by Planned Parenthood. Voters must remember that pro-abortion candidates will only ever increase the number of children murdered in the womb – defenseless humans that cannot even cry out, much less cast a vote. When you mark your ballot, think of that voiceless child. Who would she vote for?”

LifeNews Note: This article was originally published by Operation Rescue, a leading pro-life, Christian activist organization dedicated to exposing abortion abuses, demanding enforcement, saving innocent lives, and building an abortion-free America. The author, Sarah Neely, is Chief Operating Officer for Operation Rescue. This is an excerpt from its annual report.