The course of the pudendal nerve through the gluteal region is of clinical importance. At this point, the nerve passes behind the sacrospinous ligament. Detailed knowledge of the variant anatomy of the pudendal nerve and the location of the latter relative to the sacrospinous ligament is important in many cases of appearance. The anatomy of the pudendal nerve is also important when performing a pudendal nerve block, which requires insertion of a needle into its sensitivity. Variant anatomy of the pudendal nerve is important when performing surgical interventions on the nerve itself. Thus, the formation of anastomoses of the pudendal nerve is expedient for the purpose of innervation of the newly formed sphincter in patients undergoing rectal excision. Often, for the treatment of insufficiency of the anal or urethral sphincters, electrical stimulation of the pudendal nerve is performed. In the case of nerve compression, decompression and neurolysis of the latter occur. A search of literature sources in the PubMed, Medline, EMBASE, Cochrane Library and eLibrary databases demonstrated the presence of separate studies devoted to the English version of the anatomy of the pudendal nerve. At the same time, in the case of detection, the features of the anatomy of the pudendal nerve in the gap from various detected phenomena are reported, which was the motivation for this study.