Facing Eugenics is a social history of sexual sterilization operations in twentieth-century Canada. Looking at real-life experiences of men and women who, either coercively or voluntarily, participated in the largest legal eugenics program in Canada, it considers the impact of successive legal policies and medical practices on shaping our understanding of contemporary reproductive rights. The book also provides deep insights into the broader implications of medical experimentation, institutionalization, and health care in North America.

Erika Dyck uses a range of historical evidence, including medical files, court testimony, and personal records to place mental health and intelligence at the centre of discussions regarding reproductive fitness. Examining acts of resistance alongside heavy-handed decisions to sterilize people considered "unfit," Facing Eugenics illuminates how reproductive rights fit into a broader discussion of what constitutes civil liberties, modern feminism, and contemporary psychiatric survivor and disability activism.