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Johnson runs an anti-abortion ministry, And Then There Were None (ATTWN), which lobbies abortion-clinic workers to leave the industry and which provides money and counseling for those who do. Johnson attended the 2017 Women's March, a massive protest against newly inaugurated President Donald Trump, in January 2017.

Johnson was raised as a Southern Baptist, but left the church because it objected to her work at Planned Parenthood. She and her husband Doug, who was raised Lutheran, stopped attending church altogether for two years before joining the Episcopal Church, which has one of the most liberal stances on abortion of any Mainline Protestant denomination. After she went public with her conversion to the anti-abortion position, Johnson said she felt unwelcome at this church. She and her husband converted to Catholicism in 2012.

Soon after her resignation, Johnson began volunteering with the Coalition for Life, which regularly prayed outside her former clinic. Johnson is the author of two books. Unplanned, released in January 2011, details her work at Planned Parenthood and her conversion to abortion opposition; the book is the basis for a film which was released in March 2019. The Walls Are Talking: Former Abortion Clinic Workers Tell Their Stories, released in 2016, recounts stories of former abortion workers that have come through her ministry.

Johnson revealed in January 2011 that she had two abortions herself before the birth of her daughter. She lives in Texas with her husband Doug and seven children.

Johnson, in her description of her resignation from Planned Parenthood, says that in September 2009 she was called to assist in an ultrasound-guided abortion at thirteen weeks of gestation. She said she was disconcerted to see how similar the ultrasound image looked to her own daughter's, and said that she saw the fetus squirming and twisting to avoid the vacuum tube used for the abortion. Johnson continued working at the clinic for nine more days, but soon met with Shawn Carney, leader of the local anti-abortion group Coalition for Life, and told him she could no longer continue assisting women in getting abortions. She resigned on October 6, 2009. Johnson said after her resignation that her bosses had pressured her to increase profits by performing more and more abortions at the clinic. Johnson conceded that she could not produce any evidence to support her allegations, and an article on Salon.com questioned Johnson's statements regarding financial incentives for abortions.

Johnson's story received national coverage starting in November 2009, at which point she was embraced by the anti-abortion movement and compared to Norma McCorvey, the "Jane Roe" of Roe v. Wade, the United States Supreme Court case that legalized abortion in 1973. McCorvey joined the anti-abortion movement in 1995.

Identifying as "extremely pro-choice," Johnson worked at the Planned Parenthood clinic in Bryan, Texas for eight years, escorting women into the clinic from their cars and eventually working as director of the clinic. Johnson regularly encountered activists from Coalition for Life (now known as 40 Days for Life), a local anti-abortion group which demonstrated at the clinic's fence, and described extensive harassment of clinic staff by anti-abortion activists. Johnson described death threats from anti-abortion activists against her and her family, stating: "It's very scary, this group of people that claim to be these peaceful prayer warriors, or whatever they call themselves, it's kind of ironic that some of them would be sending death threats." The Planned Parenthood clinic named Johnson employee of the year in 2008.

Johnson grew up in Rockdale, Texas, and graduated from Rockdale High School. She obtained her Bachelor of Science in psychology from Texas A&M University and Master of Arts in counseling from Sam Houston State University. Although raised in a conservative family opposed to abortion, Johnson began volunteering for Planned Parenthood in 2001 after seeing their booth at a volunteer fair at her college.

Abby Johnson (born July 10, 1980) is an American anti-abortion activist who previously worked at Planned Parenthood as a clinic director, but resigned in October 2009. She states that she resigned after watching an abortion on ultrasound. Her memoir, Unplanned, was made into the 2019 movie of the same name.