Inconsistent and ineffective contraception use contributes to the large numbers of unintended pregnancy rates in Australia, particularly in young people living in rural and remote regions. The oral contraceptive pill remains the most widely used method, despite the more reliable and effective long-acting reversible contraceptives being first line for all reproductively aged women. To improve the use of consistent and effective contraception, we need a better understanding of how young people decide what contraception to use. This will hopefully improve the quality of the family planning counselling delivered by GPs.