This article outlines and reflects on the current procedure in Israel for requesting late pregnancy terminations and the subsequent decision-making processes. The study population consisted of 183 women who requested late termination of pregnancy (LTP) in Israel during the years 1995-97. The main causes for requests were fetal anomalies and late application. Eighty-two percent of requests were approved, and approval could be predicted by the week of gestation and the reason for application. Ethical dilemmas are described. The need to enhance professional support for women who request LTP, whether they receive approval or not, should be addressed by the health system and social workers in health care.