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Elizabeth Makous-The Pelvic Whisperer
The Makous Protocol
The greatest tool in
your pelvic health tool box!
  • Heal severe pelvic organ prolapse!
  • Prevent pelvic reconstruction surgeries!
  • Reverse failed pelvic reconstruction surgeries!
  • Eliminate severe bowel and bladder incontinence,
    urgency and frequency!
  • Enhance erectile function and sexual satisfaction!
  • Heal vaginal atrophy!
  • Prevent UTIs!


Learn a rapid and effective way to heal your patient’s pelvic floor or find a Physical Therapist that can!

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The Makous Protocol is a method of Internal Electrical Stimulation (IES) that has helped many patients who have not responded to traditional therapies heal and lead high quality lives.

The Makous Protocol will revolutionize your pelvic health practice by improving the speed at which patients progress and especially to improve the outcomes of refractory patients that have failed traditional manual therapy, Pelvic Floor Muscle Training, biofeedback and EVEN Internal Electrical Stimulation.

Fellow clinicians please take the time to sign up for my course so I can take you on a journey that imparts to you the lessons I have learned, the knowledge I have gained and the available evidence-based research to understand the protocol. You too may help your most desperate patients heal with the Makous Protocol! I promise you it will be time well spent! It will transform your clinical practice!

Unique Technology

There is currently no other Internal Electrical Stimulation (IES) Protocol in the literature that uses the IES as I have used it and present in this course.

The Main Goal

To impart clinical expertise gained through many and ongoing years of patient care, evidence-based study and prayerful service to improve men and women’s pelvic health.

Improved Recovery

Revolutionizes pelvic health practice by improving the speed at which patients progress and especially improving outcomes of refractory patients who have failed other methods.


To inspire and educate licensed clinicians on methods that facilitate healing of the musculoskeletal and neurological issues that lead to bowel, bladder and sexual dysfunctions.


Physical Therapists

who have a basic knowledge of pelvic health manual PT and are capable of specialized clinical assessment and manual treatment of the pelvic floor muscles, fascia and nervous system within.

Nurse Practitioners

who specialize in pelvic health and are capable of specialized clinical assessment and manual treatment of the pelvic floor muscles, fascia and nervous system within.

Occupational Therapists

who specialize in pelvic health and are capable of specialized clinical assessment and manual treatment of the pelvic floor muscles, fascia and nervous system within.

*All clinicians are legally responsible for knowing and remaining within their own State Licensure Practice Act Guidelines.*


"I was 59 and got a 2 1/2 inch tumor on my rectum in November if 2018 needing radiation and chemo therapy medicine (reducing tumor) and eventually 2 surgeries starting July of 2019. The first surgery took the whole rectum leaving only the colon to relearn how to eliminate. Apparently, between the radiation and the surgery muscle spasms surged inside and ruined the whole bowel area making me completely incontinent. I was either in a Depends to prevent a mess or on the toilet ALL the time. I experienced constant pain from bloody splits that occurred from acid of stool on the anus area. Neither the surgeon, her team of nurses nor the hospital team suggested any therapy or after care telling me this could last 2 years or for life! All I could think was no way was this active,sporty, motorcycle and boating fiend going to take this lying down or standing up...….. Finally, 3 months after my last surgery the radiation doctor introduced me to a Pelvic Floor Exercise Therapist named Elizabeth Makous. Within 2 weeks her conscientious instinct for knowing people's bodies got me on my way to being able to somewhat stop the ALL DAY toilet sitting and learn how to control when to go. In the next 2 weeks she sent me home with devices that enabled me to continue therapy at home. Her protocol is unique to the individual situations by using myofascial release, manual massage therapy to release abdominal scars from ileostomy reversal and the rectal scars and break up spasms. That helped relieve the pain a lot. I think the thing that really helped me turn the corner in terms of controlling my bowels was the internal rectal electrical impulse stim that I started doing every day. Then I was able to stop sitting on the toilet all day by releasing my own internal rectal spasm with Therawand’s Trigger Wand device. After only 4 weeks of consistent PT and 2 and half weeks of daily home electrical stimulation and a week or so of using the trigger wand I am out of the adult diaper most of the time and I am getting my life back!!!! If you are a cancer doctor, surgeon, gastroenterologist, radiation doctor, technician, nurse or PT PLEASE take the class Elizabeth teaches and you will love being more efficient in easing your patients predicaments and SUFFERING! Love her!!!"
Michelley (patient)
"I really love the Makous Method because it is easy to follow for patients and all the tools needed are very affordable, both of which lead to higher compliance and higher success! Also as it can be done at home, it helps patients take control of their own rehabilitation. As the patients coming in for pelvic floor therapy are often dealing with very sensitive issues not often discussed in public, being able to do this at home in conjunction to pelvic floor physical therapy can be very empowering. An example is patients with fecal incontinence - I have seen patients go from having to constantly worry about an embarrassing situation to feeling more confident in public with use of the Makous Method. I also use it with patients with pelvic organ prolapse and in some cases have seen them avoid surgery after following this protocol. It has worked wonders in patients post-prostatectomy who often have never been told how to use their pelvic floor muscles - these patients are often extremely motivated to get back to PLOF and very compliant, and we have seen great results! I wish I had known about the Makous Method a lot sooner!"
Mae (therapist)
"The stim and release method really worked for me. It was easy to use, not painful, and the medical attention that I received in using it was top notch. As I got older I had worried that I might need surgery someday, and this solved the problem not only for today but also for the long term. The best part about it was the fact that I can maintain the treatment at home, whenever I feel that my muscles are getting weaker or looser. It took a little getting used to, and it was a bit embarrassing as it's such a personal thing, but my PT was so professional and put me at ease. It was well worth being a little uncomfortable...I wish my mother and grandmother had the benefit of this technology, and I tell every woman I know about it because it's a great solution to a common problem."
Lee (patient)
"I’m so blessed to have finally found Elizabeth. After discovering I had pelvic floor prolapse after a hysterectomy, I was confused and frustrated. My gynecologist had suggested that I have pelvic floor therapy but he was specific about what kind. He wanted me to have internal therapy and we couldn’t find anyone in my area that accepted insurance and provided the type of therapy. After going to another therapist who basically just told me to do 100 kegels a day and charged me $150 cash per 30 min session (didn’t accept insurance) just to “teach” me how to do kegels properly, my doctor found Elizabeth at Henry Mayo PT. Immediately I felt like I was finally going to get the help I needed. She is very friendly and knowledgeable and treated me like a real person. You can tell she really cares and is a genuinely nice person. In addition, the internal stem has helped me tremendously. My sex life has improved as a result. Also, during our sessions she is very thorough and takes her time to make sure she’s doing everything for you that she can to improve your situation. She even discovered another problem that I had that my gynecologist who I’ve seen for many years had overlooked. For anyone who has pelvic floor prolapse, a week pelvic floor, or even if you just want to improve your sex life because the sensation isn’t the same as it was before just go to Elizabeth Makous, the pelvicwhisperer! I feel so blessed to have found her and you will be too!"
Tanisha (patient)
"Elizabeth is really knowledgeable and her course is extremely thorough by using evidence-based with profound expert experience from basic anatomy to IES application. With Makous Method, patients are able to do their exercises at home, which leads to higher compliance, better outcome, and higher success! This course not only gives more tools and knowledge when treating patients with pelvic health dysfunction but also provides me the confidence to build great rapport with very sensitive pelvic health patients. As a new grad Physical Therapist, I felt very limited in my treatment with patients, but I learned a lot from this course. Thus, I highly recommend my pelvic health colleagues to take Elizabeth’s course!"
Shui (therapist)

Elizabeth Makous MSPT, CLT, PRPC, CES

I have been a Pelvic Health Therapist since 1992. My career has been focused on helping patients with very complicated bladder, bowel and sexual dysfunctions and pelvic pain. Along with the Pelvic Health specialty I have two certifications in edema and lymphedema management. Merging specialized treatment of the lymphatic system with the musculoskeletal system enhances treatment effectiveness and facilitates healing in patients with complicated issues. This is remarkably true when I treat cancer patients.

I have always enjoyed learning from and mentoring colleagues within my current position as Coordinator of the large Pelvic Health and Lymphedema Program at Henry Mayo Hospital Fitness Center (Valencia, CA).

Other mentorship includes being a TA for Herman and Wallace Pelvic Rehabilitation Institute as well as Norton School of Lymphology.

I have also enjoyed volunteering my time to review and edit handouts for the Pelvic Guru’s website as well as serving as a consultant for Therawandand other start up companies.

I have had the honor of going on two medical mission trips to Kenya where I was privileged to serve impoverished men and women with pelvic pain and many other physical dysfunctions. The focus of our 2021 trip was to rescue girls from Female Genital Mutilation (FGM) and for me to discover how to treat the consequences of FGM. I continue to mentor and raise funds for the medical clinics in Moheto.

All proceeds from this class will be used for this ongoing support.