In preparation for the Fourth World Conference on Women, the London Roundtable on Women's Health has issued a statement on women's sexual, reproductive, and health rights and needs. Fundamental is assurance that women are not denied access to health care as a result of gender discrimination or poverty. Urged is a life-span approach that ensures that young girls have equal access to food, education, and health care; adolescents are not denied contraceptive information and services; the mortality risks associated with pregnancy, unsafe abortion,and childbearing are reduced; and the needs of the growing numbers of older women are addressed. The health care system must actively discourage gender-specific practices that adversely affect women's health, including genital mutilation, rape, and child marriage. By the year 2015, high-quality reproductive health care should be accessible to all women and primary health care-based referral systems for obstetric emergencies and sexually transmitted diseases should be in place. Any legal, medical, clinical, financial, and regulatory barriers to these goals should be eliminated by 2005. To facilitate the development of effective women's health policies and programs, the collection of sex-disaggregated data is urged. Finally, women's health must receive higher priority from governments, donor agencies, nongovernmental organizations, and the United Nations.