ABSTRACT In this interview with Dr. Ida Rolf Institute® (DIRI) faculty member Kevin McCoy, the elements of fascia, persistent pain, and pelvic architecture are explored. Starting with a personal story about his own injury in childhood that impacted his own pelvic alignment, McCoy gives a useful analogy of people who develop chronic pain. Drawing from his studies with Dr. Carla Stecco and Dr. Antonio Stecco, McCoy discusses the fascial layers of the pelvis, and how he thinks about fascial organization and tissue relationships, while he works with people who have pelvic pain.