RT Journal Article SR Electronic T1 The development and introduction of ballistic protection of the external genitalia and perineum JF Journal of the Royal Army Medical Corps JO J R Army Med Corps FD British Medical Journal Publishing Group SP i15 OP i17 DO 10.1136/jramc-2013-000026 VO 159 IS suppl 1 A1 Eluned A Lewis A1 M A Pigott A1 A Randall A1 A E Hepper YR 2013 UL http://militaryhealth.bmj.com/content/159/suppl_1/i15.abstract AB In response to an Urgent Operational Requirement, the UK Ministry of Defence (MoD) investigated, designed, developed, trialled and subsequently fielded a Tiered Pelvic Protection System to service personnel deployed on Operation HERRICK in Afghanistan. An Urgent Statement of User Requirement (USUR) was drafted in order to equip service personnel with protection for the groin, perineum, buttocks and upper thigh areas from the effects of buried Improvised Explosive Devices (IEDs). Injuries to the groin and pelvic area from buried IEDs can have severe physiological and psychological impact; therefore the aim of the pelvic protection was to reduce the number and severity of such injuries and to improve the outcome, both in terms of quality of life of the survivors and increase the chances of survival. The aim of this paper is to outline some of the research and development that contributed to the design(s) of the Tiered Pelvic Protection System; describe the components of, and report the medical success of, the Tiered Pelvic Protection System.