After decades of stagnancy following the transformative work of Arnold Kegel, there is resurgence in interest in the pelvic floor and in the benefits of pelvic floor training in both genders. There is increasing recognition of pelvic floor dysfunction as the underlying etiology for a variety of pelvic issues and an evolution in progress with respect to management modalities, including “smart” pelvic floor muscle training programs tailored to specific pelvic floor dysfunctions, the advent of a host of novel, high-technology resistance devices, and the increasing acceptance, use and legitimacy of pelvic floor physical therapy. Another key element is functional pelvic fitness— teaching patients how to apply their pelvic training to daily tasks and common everyday activities to improve their... quality of life. There is a new found understanding that many pelvic pain issues (interstitial cystitis/chronic pelvic pain syndrome, prostatitis, irritable bowel syndrome, fibromyalgia, endometriosis, etc.) are manifestations of pelvic floor dysfunction. There is a burgeoning appreciation that pelvic floor muscle training in males is no less important than in females. If Arnold Kegel were alive today, he would take great pleasure and pride in the breath of life being infused into his seminal work following decades of dormancy. His legacy and the fertile ground and transformative changes nurtured by his pioneering efforts will result in the continued empowerment of patients, with improvement in their pelvic health and quality of life.