Do you know the difference between a pap smear and a pelvic exam? The features of an annual exam are changing. The U.S. Preventive Services Task Force is a national panel of experts in the field of prevention and evidence based medicine. They make recommendations purely on the basis of science and evidence. But some annual tests are not based on science or evidence; they are based on politics and unsubstantiated traditions. We encourage an open discussion of the 'science' behind various annual tests as you map your path toward your sustainable health.