Pubic symphysis diastasis (PSD) following childbirth via vaginal delivery is a rare but debilitating condition. Widening of the cartilaginous joint during pregnancy before childbirth is physiologic and assists in expanding the birth canal for successful delivery.[1] However, reports of non-physiologic pubic diastasis exceeding that typically required for childbirth (typically greater than 1 cm) can leave mothers with debility and extreme pain. The incidence of complete separation of the pubic symphysis is reported to be within 1 in 300 to 1:30,000, with many instances likely undiagnosed.[1] The orthopedic surgeon is presented with a difficult decision when managing these patients as the women are high-risk surgical candidates in the peri-pregnancy state and prolonged debility can affect care for their newborn. DIscussions of multiple treatment options in the literature include non-operative treatment with application of pelvic binder coupled with physical therapy and immediate weight bearing, non-weight bearing with bedrest, closed reduction with application of binder, application of anterior external fixator with or without sacroiliac screw fixation, and anterior internal fixation with plate and screws. A multi-disciplinary approach is essential in both early detection and treatment for satisfactory patient outcomes.