医学模式已从“生物医学模式”转变为“生物-社会-心理-环境”的整体模式。在整体理论的指导下，整合医学的出现成为必然。当代医学发展已进入多模式、多层次、多学科及中西医交叉融合的时代。传统单一学科难以应对复杂疾病模式的严峻挑战和多变的发展形势。在临床实践中，盆底作为一个由肌肉和韧带将膀胱尿道、阴道子宫、直肠肛门等3组不同器官联系在一起的整体，任一器官的功能障碍均不是孤立的，盆底外科作为涵盖了泌尿外科、妇产科和肛肠科三大领域的二级学科应运而生。在整体医学理论的指导下，盆底外科打破了学科体系的僵化格局，运用盆底影像动力学、尿动力学和肛肠动力学等多种辅助检查，联合中医学、盆底生物反馈、骶神经调节、人工括约肌、盆底补片手术及无张力吊带手术等，优化了盆底疾病临床治疗路径和管理模式的同时不断创造出新理论、新技术。本文从盆底外科产生的背景，结合本人多年实践，以宏大的视角从理论基础和临床实践等多方位对与盆底外科整合医学的发展趋势做出探讨。

The medical model has changed from the “biomedical model” to the overall “bio-social-psycho-environmental” model. Under the guidance of holism, the emergence of integrative medicine has become inevitable. The development of contemporary medicine has entered an era of multi-mode, multi-level, multi-discipline, and integration of traditional Chinese and Western medicine. It is difficult for traditional single discipline to cope with the severe challenges of complex disease patterns and changeable development situations. In clinical practice, as a whole, the pelvic floor is composed of three different groups of organs that are linked together by muscles and ligaments, including the bladder-urethra, vagina-uterus, and rectum-anus, and the dysfunction of any organ is not isolated. As a matter of course, pelvic surgery has emerged as a secondary discipline covering three major areas: Urology, obstetrics and gynecology, and anorectology. Under the direction of the theory of holistic medicine, pelvic surgery has broken the rigid pattern of the discipline system, using a variety of auxiliary examinations such as pelvic floor imaging dynamics, urodynamics, and anorectal dynamics, combined with traditional Chinese medicine, pelvic floor biofeedback, sacral neuromodulation, artificial sphincter implantation, pelvic floor patch surgery, tension-free tape surgery, etc., to optimize the clinical pathway and management mode of pelvic floor diseases while continuously creating new theories and techniques. This article discusses the development trend of integrative medicine with pelvic surgery from the background of the emergence of pelvic surgery, combined with my years of practice, with a macro perspective from the theoretical basis and clinical practice in multiple aspects.