From the book
Ireland in the 70s and 80s expected conformity to Catholic teaching, especially in matters of reproduction and contraception. Family planning was treated as taboo, and couples were left without real choices.
Against this backdrop Dr Rynne established a practice that offered contraception and vasectomy. The work began quietly, then grew quickly as word spread and demand surged.
Many doctors refused to prescribe the pill, which left women vulnerable to continuous pregnancy. Rynne chose to listen to patients, to explain options clearly, and to treat consent as essential.
Pressure came from both Church and State, along with professional gatekeeping. The book traces the protests, the letters, and the everyday risks of defying the status quo.
What began as a clinic became a movement for dignity in reproductive healthcare. The memoir shows how policy shifts happen, one patient and one conversation at a time.
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The Kindest Cut
Step inside the true story of the doctor who introduced vasectomy to Ireland. In this candid memoir, Dr Andrew Rynne recounts practicing in 1970s and 1980s Ireland when Catholic doctrine shaped policy and many physicians refused birth control. He opens his clinic, faces resistance from Church and State, and stands with patients who wanted control of their family planning. Part medical history and part personal journey, this is a frontline account of how reproductive rights began to change in Ireland.