Although the intersection of human rights and family planning (FP) has long been recognized, efforts to make the abstract concrete by intentionally embedding human rights in the design, implementation, monitoring and evaluation of service delivery programs are fairly new. By summarizing the proceedings of a consultation in London in June 2016 on realizing sustainable programming for rights-based FP, this paper captures the state-of-the art of this transformative approach. It highlights the resources, results and learning of current rights-based service delivery and monitoring efforts, and shares the outcomes of discussions of critical tensions that need to be balanced to find a way forward. It concludes with key insights, long-term needs and recommendations for immediate action generated by leading donors and technical experts.