The Integral Theory Paradigm (ITP) discovery tree. The ITP tree shows the expansion of the ITP between 1990 and 2023 to cure bladder/bowel/pain/prolapse conditions by strengthening ligaments, muscles and restoring elasticity to the vagina by skin grafts by many different physicians. Many conditions in Figure 1, such as interstitial cystitis/BPS, cure of ongoing massive urine loss after successful fistula repair, obstructive defecation syndrome, anterior rectal wall intussusception were discovered by observation and testing following ligament repair according to the ITP. Some such as cure of day/night enuresis and the latest urethral ligament plication operation were by direct testing the ITP’s predictions (see 2024 Integral Theory Update: https://atm.amegroups.org/issue/view/1400). BPS, bladder pain syndrome.