26 Years of Pelvic Health Lessons: An Interview with Tracy Sher

What does 26 years of treating complex pelvic pain teach you? And what happens when you decide it's time to step away from patient care?
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What does 26 years of treating complex pelvic pain teach you? And what happens when you decide it's time to step away from patient care?
We're joined by Tracy Sher, founder and CEO of Pelvic Global (formerly Pelvic Guru), international educator, and one of the pioneers who helped shape how our field approaches complex pelvic pain.
This conversation is packed with clinical pearls, honest reflections, and some incredible stories about building a business (including a VERY expensive picture of a uterus 😳).
We dive into:
⏳ "How long until I get better?" — Tracy's brilliant framework for answering one of the hardest patient questions without making promises you can't keep.
📈 Redefining progress — Why improvement isn't always about pain scores or symptoms disappearing, and how to help patients recognize meaningful wins.
🧠 Anxiety isn't the same as pain — How Tracy uses separate scales to guide examinations, build trust, and help patients feel safe.
🤝 Better mentorship, better referrals — Why pelvic PTs and OTs should be learning from each other and referring within our own specialty more often.
🌎 Lessons from around the world — What Tracy has learned teaching internationally, and why complex pelvic pain education still has a long way to go.
💸 The $20,000 uterus picture — How a copyright lawsuit, failed business ideas, and some expensive mistakes helped shape Pelvic Global.
❤️ Stepping away after 26 years — The emotional side of leaving direct patient care when being a clinician has been such a huge part of your identity.
One of our favorite takeaways? You don't need to know exactly when a patient will get better. But you do need a plan for figuring out whether you're on the right track.
And after 26 years, Tracy is still curious, still learning, and still finding new ways to make an impact on our field.
About Tracy Sher
Tracy Sher is a pelvic health physical therapist with 26 years of clinical experience, an international educator, and the founder and CEO of Pelvic Global, formerly Pelvic Guru.
She's known for her expertise in complex pelvic pain, including pudendal neuralgia, and for creating educational resources that help clinicians around the world deliver better care.
She's also the creator of The Art of Pelvic Anatomy, a beautifully illustrated anatomy resource designed for clinicians, educators, and patients.
🌐 Website: PelvicGlobal.com
📱 Instagram: @pelvicguru1
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Nicole Cozean, PT, DPT, WCS
Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.
Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA
Co-founder of the Pelvic PT Rising and the Rising Podcast.
Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.
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