This article is in response to the UN’s Guidance Note on Reparations for Conflict-Related Sexual Violence (2014). The authors aim to address conceptual gaps that remain in the legal and policy framework for reparations addressing conflict-related sexual violence. These gaps result in ongoing challenges in implementing gender-sensitive reparations, such as the exclusion of women from legal remedies due to definitional, operational, and enforcement bias in the creation and implementation of reparation regimes. The authors also argue that violence against men is often unseen and unaccounted for in these reparations due to a limited understanding of who can be the victim of sexual harm. The authors undertake an analysis of international and domestic approaches to reparations delivery. They propose ten practice-based principles to be used in implementing transformative reparations in judicial, peacemaking and programming contexts for conflict-related sexual violence.