The Iliolumbar Ligament is a robust ligamentous structure that plays a crucial role in providing stability to the lower spine and connecting the ilium to the fifth lumbar vertebra (L5). It is part of the complex network of ligaments and structures that support the vertebral column. Originating from the transverse process of the fifth lumbar vertebra, the iliolumbar ligament extends obliquely to attach to the posterior part of the inner lip of the iliac crest. This ligament contributes to the reinforcement of the lumbosacral joint and helps prevent excessive lumbar extension and rotation. The iliolumbar ligament is innervated by branches of the lumbar nerves and receives blood supply from the iliolumbar artery. During activities involving the lumbar spine, such as bending and twisting, the iliolumbar ligament actively participates in stabilizing the region. Injuries or strains to the iliolumbar ligament may occur due to trauma, improper lifting, or repetitive stress on the lower back. Maintaining proper lumbar spine mechanics and engaging in exercises that promote core stability can help prevent injuries and support the overall health of the lower back.