Over the last 30 years, there has been a threefold increase in the number of cancer survivors. As a result more women are living with the long-term side-effects of their treatment. Gastrointestinal (GI) symptoms after pelvic radiotherapy are especially important, as they are common and impair quality of life. Since patients are likely to present in primary care, GPs and practice nurses can help to ensure appropriate initial management and referral.