Four hundred international pelvic surgeons were invited to participate in a two-part online survey. The key findings of the study were:• One hundred twenty-three pelvic surgeons participated (response rate = 31%). • Respondents were primarily trauma surgeons (76%) from level 1 trauma centers (82%), with an average of ten (IQR 5–15) years of experience in treating pelvic injuries. • The addition of EUA imaging resulted in 46% of the respondents in a change in classification, primarily shifting from APC1 (26% with static imaging to 17% with EUA imaging) to APC2 (57% to 67%). For further details on the article refer to:Examination under anesthesia imaging changes surgeons’ classification and treatment decisions of anterior posterior compression pelvic ring injuriesCamryn C. Therrien et al European Journal of Orthopaedic Surgery & Traumatology (2026) 36:202 https://doi.org/10.1007/s00590-026-04744-8