This report examines the increase in anti-abortion threats, disruption, and violence targeting abortion providers and advocates from 2019 to 2020. Despite a global pandemic, abortion providers continued to experience an escalation in targeted violence and disruption in 2020. Abortion providers reported an increase in vandalism, assault and battery, death threats/threats of harm, stalking, and hoax devices/suspicious packages from 2019. The National Abortion Federation (NAF) has been compiling statistics on incidents of violence and disruption against abortion providers for more than 40 years. Since 1977, there have been 11 murders, 26 attempted murders, 42 bombings, 194 arsons, and thousands of incidents of criminal activities directed at abortion providers.