1. Introduction 2. Definitions and interpretation of biomechanical mapping 3. Retrospective history and medical applications 4. Biomechanical mapping with ultrasound and magnetic resonance imaging 5. Biomechanical mapping with force and pressure measurements 6. Pelvic floor characterization with vaginal tactile imaging 7. Biomechanical integrity score 8. Preoperative assessment and prediction of pelvic prolapse surgery outcome 9. Changes of pelvic floor integrity after hysterectomy 10. Vaginal conditions after laser treatment 11. Pelvic floor characterization with vaginal tactile ultrasound image fusion 12. Cervical biomechanical deficiency and spontaneous preterm delivery 13. Antepartum tactile imaging in prediction of maternal birth trauma 14. Cervical Biomechanical Deficiency and Spontaneous Preterm Delivery 15. Conclusions and future directions