Why? Why? Why? Why? Why? Like any curious seven-year-old, asking why five times will often get you to the root cause of any problem, or so says the famous Toyota interrogative technique. Why do so many women suffer from chronic pelvic pain? Running down the chain of “whys,” we may find ourselves in an evolutionary conundrum. Why would we evolve to have chronic pain? Gynecologists Dr. Jarrell and Dr. Arendt-Nielsen dive into this evolutionary question in their new article in the August 2016 Gray Journal.