RT Book, Section A1 Reichman, Eric F. SR Print(0) ID 57715235 T1 Chapter 137. Symphysiotomy T2 Emergency Medicine Procedures, 2e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-161352-1 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57715235 RD 2024/04/20 AB Symphysiotomy is the artificial division and separation of the pubic symphysis in order to facilitate vaginal delivery. This is not to be confused with a pubiotomy, or the severance of the pubic bone a few centimeters lateral to the symphysis, for the same purpose. First performed in the seventeenth century, it is indicated in cases of cephalopelvic disproportion and may be a life-saving alternative to cesarean delivery.1 The reported success rate of this procedure is approximately 80% when performed appropriately.2