Patients are often not surprised to hear that pain is usually multifactorial and their whole being needs to be addressed to improve their quality of life. Chronic (or persistent – perhaps a word associated with less catastrophising) pelvic pain has many causes and I would like to suggest a structure which Dr Susan Evans (a gynaecologist and Fellow of the Faculty of Pain medicine) uses for teaching patients, and excluding causes along the way. Hopefully I can suggest something that you will incorporate into your day to day consulting which helps shift the curve of pain across the population and reduces our need for Chronic Pelvic Pain clinics!