This power point talk explores the issues that contribute to the epidemic of women’s pelvic floor difficulties, and describes internal and external manual therapy for rebalancing and health. We examine symptoms related to pelvic floor issues beyond incontinence and prolapse, including sciatica, low back pain, and other musculo-skeletal complaints, and explore integrative pelvic care modalities that include external work as well as inter vaginal and inter-rectal work. We practice sensitizing awareness of our own pelvic floor musculature, learn how to assess for proper pelvic floor balance and tone, and explicate when to refer to a pelvic floor specialist.