Waters highlights the urgent need for action to improve the patient experience of gynecological procedures.1 A number of women have long shared their painful and distressing experiences with these procedures in various forums.1 The Royal College of Obstetricians and Gynaecologists guidelines are not consistently followed and there are wide variations in the care provided, which is a cause for concern.1 More research is needed to ensure that care is evidence-based.1 Waters points out that effective pain management must be embedded in clinical practice.1 The author calls for concrete and urgent measures and more funding to achieve faster improvement.1 In order for changes to be sustainable, patients should be involved in conversations and shaping services in all phases.1