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The structure of the human pelvis plays a crucial role in obstetric delivery and pelvic surgery. Variations in pelvic anatomy, whether congenital or due to trauma, can significantly impact childbirth and complicate surgical interventions. The pelvis consists of four bones and can be divided into the false pelvis and the true pelvis, with the latter forming the birth canal. Different pelvic types gynecoid, android, anthropoid, platypelloid, and cleft—each present unique challenges during labor. For example, android and platypelloid pelves may lead to obstructed labor, fetal malposition, and higher cesarean section rates, while anthropoid pelves can result in prolonged labor. Pelvic variations also affect pelvic surgeries, including reconstruction, trauma management, and pelvic floor repairs, requiring tailored surgical approaches. Understanding these anatomical differences is essential for clinicians to optimize delivery plans and surgical interventions, improving outcomes and reducing complications for both mothers and infants.