In November 2022, a two-day reunion was organized by seven former directors of USAID’s Office of Population and Reproductive Health (PRH).1 Participants reflected on USAID’s achievements and challenges in the field of family planning and reproductive health (FP/RH) and discussed the program’s current and future direction. This document represents a summary of the discussions and reflects the broad set of issues, ideas, and themes that emerged from the reunion.2 It is not a consensus document and is not intended to represent the views of any individual or organization. It was prepared by Julia Kaufman and Morgan Pincombe at the Center for Global Development.