Postpartum contraceptive care is often looked at by whether counseling occurred or whether a person leaves with a contraceptive method. This study asks a different question: how do Black birthing people in Appalachian Northeast Tennessee and Southwest Virginia experience postpartum contraceptive counseling, messaging, trust, and access? This provides the opportunity to identify strategies that support contraceptive care that is respectful, equitable, and autonomy supportive for Black birthing individuals. Gaps in the quality of contraceptive care received by birthing people are well documented in the literature, and less is known about how Black birthing people in Appalachian communities experience postpartum care, particularly in rural areas, where healthcare access and structural support are often limited. These disparities may be even more pronounced. This study will not only explore experiences of barriers and mistrust but also moments where care felt encouraging, validating, and sensitive to their individual well-being and needs. Using a qualitative descriptive design with a phenomenological orientation, 10 to 15 Black birthing people who gave birth in the past 12 months and reside in Appalachian Northeast Tennessee or Southwest Virginia will be recruited to complete in-depth interviews focusing on three core constructs: messaging, trust, and positive deviance. Interviews will be analyzed using reflexive thematic analysis. By moving beyond describing disparities to identifying pathways toward respectful and autonomy-supportive care, study findings have the potential to impact clinical practice and postpartum contraceptive care delivery in the Northeast Tennessee and Southwest Virginia context, now and in the future, especially for Black birthing people.