Abstract: The use of complementary and alternative approaches for health and disease management is steadily increasing in this country, and women are the primary users. The number of visits to alternative health care providers exceeds the number of visits to primary care providers. Although there is evidence supporting many of these approaches, many others are potentially dangerous or fraudulent. Women are frequently making decisions regarding treatment options without the advice of medically trained individuals, and most patients do not inform their physicians of their use of alternative approaches. Obstetrician-gynecologists are in an excellent position to help guide patients in their treatment choices, including guiding them away from potentially dangerous alternative treatments and supporting their use of potentially beneficial treatments.