Policies developed with a reproductive justice methodology are crucial for ensuring reproductive autonomy and safety of all people in New Zealand, according to a narrative review from Family Planning (now Sexual Wellbeing Aotearoa). Necessary changes include equity of access to contraception and abortion, reducing sexually transmitted and human papillomavirus infection rates in Māori and Pasifika women, improving access to gynaecological care, improving sexuality education, and ending intimate partner violence and sexual violence. Policies and practices aimed at facilitating reproductive autonomy must pay particular attention to tino rangatiratanga for Māori.