Beginning with its first hints at a constitutional right to privacy in the 1920s and continuing through its full and formal embrace of such a personal prerogative in the mid-1960s, the United States Supreme Court has identified from various sources in our founding document what one justice described as “the right to an inviolate personality” and “the right to be left alone.” That seminal doctrine has been invoked by our judiciary to ensure privacy protections in many, important areas of contemporary American life and livelihood for over a century—including but not limited to access to reproductive medical services and, in particular, abortion. What are the procedural and factual trappings of the case now before the High Court that will likely reverse a 49-year-old civil rights tradition? And what are the consequences of such a ruling for residents in various states nationwide (including potential impacts on other, equally well-settled privacy interests)?