There is increasing evidence that urinary and fecal incontinence, and disorders of pelvic support are global health care problems for women [1,2]. As a result, both the Urology (Female Urology) and Gynecology (Urogynecology and Reconstructive Pelvic Surgery) communities have recognized that special training is required in these areas. We have recently conducted surveys in core residency programs in both obstetrics and gynecology [3] and urology [4] across Canada and have found that basic areas of training are covered, but advanced expertise requires additional subspecialty training. In the obstetrics and gynecology programs we found progress over the last 10 years [5], but there is still a desperate need for advanced training in view of the increasingly ageing female population.