OBJECTIVE (S): This study aimed to explore midwives' perceptions of experiences related to abortion care in Japan, contributing to the improvement of professional practices for better outcomes in safe and appropriate abortion care. STUDY DESIGN: A qualitative phenomenographic approach was employed to investigate the perceptions of midwives involved in abortion care. Semi-structured online interviews were conducted with 12 midwives recruited through purposive sampling. Data were analyzed using a phenomenographic approach to identify and conceptualize differences and similarities in their perceptions. RESULTS: Midwives' perceptions of abortion care were categorized into three areas: the situation concerning abortion care, perceptions of abortion, and attitudes toward abortion care. Their perceptions of abortion included complex perspectives on women undergoing abortion, the unborn child, and the midwife. Midwives in this study believed that becoming an abortion care provider was based on the belief that it was their professional duty to provide equal care to all women. The desire to be good care providers for women was reflected in midwives' actions in striving to fulfill the wishes of women who had abortions. CONCLUSION(S): This study suggested that the variations in midwives' perceptions were reflected in their care, and that the quality of abortion care varies among midwives. The findings highlight the need for supportive strategies and continuous education programs to enhance midwives' professional identity and ability to provide equitable care.