The primary study aim was to describe patient satisfaction regarding abortion experiences in urban academic family medicine centers (FMCs). We conducted a cross-sectional survey of 210 women obtaining a first trimester medication or aspiration abortion at four FMCs. The majority of women (93%) were very satisfied with their abortion experience in their FMC, regardless of clinical site or abortion method. Women most commonly cited positive interactions with the staff and physicians as the best part of their experience. This study demonstrates that women who receive abortion services at academic FMCs are highly satisfied with their care.