The scope of practice of the gynecologist is broad and challenging. The gynecologist is blessed with the longitudinal care of women from adolescence through the end stages of life. In fact, many women consider their gynecologist their primary care physician. This edition of Obstetrics and Gynecology Clinics of North America explores many of the daily challenges of office practice. Updates in new contraceptive options and in management of dysfunctional uterine bleeding are presented. For the first time in practice of gynecology, we can offer a vaccine to reduce the risk or prevent the development of cervical dysplasia and cancer. The.