Purpose/Hypothesis: The purpose of this study was to determine whether a conservative intervention of pelvic floor exercise and dietary recommendations could reduce the incidence, severity and/or functional impact of urinary incontinence in female collegiate basketball players. Number of Subjects: Forty-seven (N=47) female collegiate basketball players ages 18-21. Materials/Methods: Pre and post intervention data regarding urinary symptoms, incidence and severity, and functional impact of incontinence were collected using a voiding log, Urinary Symptom Questionnaire (USQ), Questionnaire for Urinary Incontinence Diagnosis (QUID) and the Incontinence Impact Questionnaire (IIQ-7). Intervention consisted of a one-hour training and education session on pelvic floor anatomy and function, dietary irritants to the urinary bladder, and five simple pelvic floor exercises. Subjects were requested to refrain from dietary irritants and to perform pelvic floor exercises two times per day for six weeks and to complete a training log. Participants were also provided with a DVD of the exercises and were asked to view it at least one time per week. Data were analyzed using frequencies, paired t-tests, and correlation matrices. Results: Eighty-three percent (83%) of the subjects reported having either urge, stress, or mixed incontinence on the QUID prior to intervention. Post intervention there was a 17% reduction in "trouble emptying bladder" (p=.08), a 21% reduction in "dribbling after urination" (p=.083), and a 30% reduction in "constipation/straining" (p=.04). Other improvements in urinary function were reported, however while clinically relevant were not statistically significant. Severity of incontinence episodes was also reduced in 54% of subjects. The impact of incontinence on function was reduced post intervention (p=.08) with a 100% reduction in incontinence with vigorous activities and exercise; coughing, sneezing, straining; and urgency triggers. A 93% and 87.5% reduction in incontinence was found with laughing/yelling and lifting/bending, respectively. Conclusions: Urinary incontinence is a real, yet unexpected problem affecting female collegiate athletes. A conservative intervention of education, dietary modification, and pelvic floor exercises can be an effective way to reduce or eliminate the frequency, severity, and/or functional impact of urinary incontinence in female collegiate basketball players. Clinical Relevance: Studies investigating the prevalence of the symptoms of urinary incontinence in female collegiate athletes have shown that incontinence during collegiate sport activity (e.g., gymnastics, basketball, tennis) is not uncommon. The results from this study show that pelvic floor exercise done twice daily for 6 weeks significantly reduces functional limitations and severity of stress and urge incontinence in female basketball players.