Female patient 38 years of age with persistent type 1 peripartum pelvic girdle pain (PPGP) that was resistant to nonoperative means of therapy. The patient underwent triple pelvic joint fusion 2 years after delivery of her second child. (A) Stork views and radiological evidence of pubic symphysis instability. (B) Intraoperative images of bilateral sacroiliac joints after debridement at the time of grafting and of the pubic symphysis after debridement and application of autologous tricortical bone graft. (C) Radiological confirmation (anteroposterior, inlet and outlet views) of healing of all fusion sites 7 months postoperatively. The patient mobilized independently, experienced significant pain relief and returned to work.