Palestinian women’s reproductive health and pregnancy outcomes are shaped by the various borders the Israeli state sets up across the territory of Palestine/Israel – from walls and militarized checkpoints to language barriers, from stratified access to reproductive care to affective and symbolic boundaries in Israeli medical space. Demographic concerns and policies underpin the various ways in which Palestinian reproductive freedom and autonomy are restricted by Israeli settler colonialism. Beginning with Zionist settlement in Palestine, through the 1948 Nakba and the second half of the 20th century, and culminating in Israel’s genocide in Gaza, demographic politics are central to Israeli statecraft, and health and medicine have been a central site to establish control over land, people, and population. At the same time, Palestinians from across historic Palestine resist the various legal, political, spatial, and psychological roadblocks to creating life despite ongoing destruction. In this conversation, and starting from Gala Rexer’s book, Demographic Anxieties: Bodies, Borders, and Reproductive Injustice in Palestine/Israel, we discuss this long history through the lens of Black feminism, gender and sexuality, theories of violence, and the history of reproductive politics. In so doing, we ask what Palestine, as a site of knowledge production, enables, complicates, or demands from a transnational feminist approach to reproductive justice, how to write during a genocide, and what it means to research and speak about Palestine from Germany.