The first International Urogynecological Association (IUGA) Educational Guidelines were published in 2002 [Drutz HP, Riss PA, Halaska M, Hanzal E, Khullar V, Koelbl H, Vervest H: Guidelines: IUGA Guidelines for Training in Urogynecology and Reconstructive Pelvic Surgery (U-RPS). IUGA Educational Committee. Int Urogynecol J (2002) 13: 386–395]. At the 32nd IUGA Annual Meeting, in Cancun, Mexico (June 2007), the Education Committee (Chair: E. Hanzal) asked Professors Drutz and Koelbl to form a subcommittee to revise and update the original guidelines. A review of the original guidelines was done by the Division of Urogynecology (Staff and Fellows), University of Toronto, Mount Sinai Hospital, Toronto. A Special Educational Workshop was held at the 33rd IUGA meeting in Taipei, Taiwan (September 2008). Invited presentations of the current status of Educational Guidelines in their individual countries were presented by doctors H. Drutz (Canada), J. Gebhart (USA), C. Benness (Australia), P. Toozs-Hobson (UK), E. Hanzal (Austria), and H. Vervest (The Netherlands). The Special Workshop was attended by Fellowship Program Directors, members of the IUGA Educational Committee and current trainees in existing postgraduate programs. All of their suggestions have been incorporated in this version. In the opinion of the Educational Committee, the Guidelines represent a consensus of IUGA and provide standards of knowledge and skills in Urogynecology/ Reconstructive Pelvic Surgery (U-RPS) and Female Pelvic Medicine/Reconstructive Pelvic Surgery (FPM-RPS) at the three levels. It is the obligation of national societies and licensing bodies to use the guidelines and adapt them to national and regional needs. The Education Committee recognizes that the practice of healthcare in women in general, and of female pelvic health varies widely throughout the world, and is dependent on cultural, socio-economic and professional circumstances. However, the Education Committee feels that there is a need for standards for training in U-RPS/FPM-RPS at all levels of medical education in order to ensure quality assurance purposes. Finally, the Committee recognizes the need for regular review of these guidelines, which is reported here.