Trauma is a part of human existence and leaves a lasting mark on the body, mind, and spirit of those who have suffered from it. In this article, we will look at the progression of how trauma reprograms the autonomic nervous system (ANS), how this affects our capacity for orientation, and how our capacity for orientation organizes both our movement patterns and our structure. Some tools for addressing trauma within the context and scope of a Rolfing Structural Integration (SI) practice will also be discussed.