The contraceptive consultation differs across international healthcare systems in relation to the setting, scope of practice, provider-responsibility and the available time frame. The key to a successful consultation is to ensure that the patient leaves with their contraceptive needs met, either with the immediate provision of a contraceptive method or a plan for initiation at a specified future date. This chapter provides guidance on how to fulfill this outcome. In a generalist setting, posters inviting patients to discuss sexual health issues, brochures on contraception and information on confidentiality may be of assistance in setting the scene for the consultation. Where time is limited, an effective contraception consultation lies in its shaping. There are a variety of tools ranging from websites to models that can be useful to support a contraceptive consultation. The chapter presents cases, which illustrate approaches and principles in a sample of contraceptive consultations across the reproductive lifespan.