Sexual and reproductive health (SRH) has increasingly gained importance in the field of international human rights law. The work of the United Nations (UN) bodies, in particular the recently adopted General Comment 22 (GC 22), has been instrumental in signalling the importance of the SRH legal framework and in setting clear guidelines to steer countries into enacting/modifying/repealing national laws in order to comply with their international obligations vis-à-vis SRH. Although within the region Uruguay is regarded as a pioneer in terms of women’s status and rights, including sexual and reproductive health and rights, evidence points to a number of challenges. This article explores the extent to which the Uruguayan abortion law complies with the country’s international human rights obligations as conceptualised by GC 22. It uses the Uruguayan abortion law, its regulatory decree, and the highest administrative court’s decision in Alonso et al v. Poder Ejecutivo as the main pivots for the discussion. The results reveal that – in spite of the praise it receives at the international level and the adoption of a less restrictive abortion law – Uruguay has fallen short in adopting a legal framework that complies with the international standards and guarantees effective access to abortion services.