ABSTRACT In the first Caution Column, pregnancy is discussed as a condition that is commonly found on contraindication lists for manual therapy. Rolfing® SI Instructor, Lu Mueller-Kaul aims to dispel the myth that fascial manipulation during pregnancy is harmful, and proposes that perpetuating the narrative of harm has itself been a detriment. Current peer-reviewed research is discussed regarding the effectiveness of manual therapy during pregnancy and a thoughtful proposal of when caution needs to be applied.