Video Objective To describe the surgical technique of pudendal neurolysis via a transgluteal route as performed at St Joseph's Hospital and Medical Center in Phoenix, Arizona. Setting 68 year old woman with right-sided pudendal neuralgia persistent despite non-surgical treatment. Interventions Right-sided transgluteal surgery for pudendal nerve entrapment. Conclusion Several modifications to the procedure originally described by Dr. Robert Roger may improve post-operative pain and function, and reduce risk of surgical complication.