The Sacrotuberous Ligament is a strong fibrous band that spans from the sacrum to the tuberosity of the ischium, forming part of the pelvic floor. In orthopaedics, the sacrotuberous ligament is a crucial structure for pelvic stability and functionality. This ligament, along with other pelvic ligaments, contributes to the integrity of the pelvic ring, providing support to the sacroiliac joint and resisting movements that could compromise pelvic stability. Its attachment to the sacrum and ischial tuberosity forms a triangular shape, reinforcing the posterior aspect of the pelvic girdle. Orthopedic assessments often involve the sacrotuberous ligament when evaluating pelvic stability, especially in conditions like sacroiliac joint dysfunction or pelvic fractures. Dysfunction or injury to this ligament can lead to instability, pelvic pain, and alterations in gait. Treatment approaches for issues related to the sacrotuberous ligament may include physical therapy for pelvic floor strengthening, and in severe cases, surgical interventions to address pelvic instability. Understanding the anatomy and function of the sacrotuberous ligament is essential in orthopaedics for the comprehensive evaluation and management of pelvic conditions and musculoskeletal disorders.