In the UK, unless surgery is required, most post-reproductive gynaecological care is delivered in the primary care setting. Clinical standards and guidelines are available from the Royal College of Obstetricians and Gynaecologists (RCOG), the Medicines and Healthcare products Regulatory Authority (MHRA), the British Menopause Society, and the National Osteoporosis Guideline Group and Clinical Knowledge summaries. Only women with complex problems need referral to a specialist hospital or community based sexual and reproductive healthcare service. The clinicians and nurse(s) need to maintain dedicated telephone, answer phone and email contact systems for women and health professionals. Staffs need to liaise with other allied health professionals who are involved in the care of post-menopausal women, such as radiographers, physiotherapists and continence advisors. Continuing training will need to be coordinated by the lead clinician to ensure that staffs are providing evidence-based advice.