Dr Martin's book provides a theoretical framework and specific progressive exercises in the Pilates environment in their work with those individuals who have asymmetries of the spine, ribcage and pelvis associated with conditions such as scoliosis. This book helps Pilates instructors who want to move beyond basic certification to work safely and effectively with those who have structural and functional asymmetries. The many musculoskeletal ramifications of spinal asymmetry are explained, based on relevant anatomy and current theories of causes of deformity, thus throwing light on an often confusing topic. A developed framework offers practical solutions that will further the body of knowledge in the specialized education of Pilates instructors by enabling them to learn a safe and systematic method of instructing those with scoliosis. This framework helps instructors administer individualized Pilates exercise progressions. These comprise: creating a client profile for the individual; developing concepts and considerations for effective exercise delivery and execution; and presentation of those exercise progressions. In addition, two important aspects not yet found within the Pilates field are addressed. The first is the importance of the significant role, outlining the scope of practice of the Pilates instructor in the care of those with spinal asymmetries. And secondly is to identify separate approaches necessary for differing populations at distinct times of life. Stages such as youth, and adult each require a certain approach. The decades of young adult, mid-life, and elder years present special challenges due to the co-morbidities associated with the adult with scoliosis.