Pudendal neuralgia is a severely painful and debilitating neuropathic pain condition involving the dermatome of the pudendal nerve. This condition leads to pain in the clitoris/penis, vulva/scrotum, perineum, and rectum, especially when sitting. Pudendal neuralgia is often unrecognized and challenging to diagnose. This presentation will focus on discussing anatomy, symptomatology, diagnostic criteria, and treatment options of pudendal neuralgia including interventional procedures and surgery. It will also evaluate the evidence of new nonsurgical treatment options.