We applaud the efforts made by the authors to review the published literature on unintended pregnancy and highlight these outcomes in active-duty servicewomen and veterans. We also recognize that the rate of unintended pregnancy has remained at approximately 50% in the United States for at least the past 15 years and remains one of the highest among industrialized nations. In addition, the Centers for Disease Control and Prevention reports that the percentage of births occurring within 24 months of a previous birth increased from 11% in 1995 to 21% in 2002, which is moving in the opposite direction from the Healthy People 2010 target rate of 6%. Military obstetrician/gynecologists remain committed to both improving patient education and optimizing use of available contraceptive methods in order to reduce the rate of unintended pregnancy, consistent with the Healthy People 2010 goal of 30%. While we agree that improvements in patient education and more consistent use of contraception are necessary to reduce this rate, especially in women of younger age, unmarried status, and lower educational levels, we dispute the claim by the authors that there is limited provider knowledge regarding available contraceptive methods. Military physicians have extensive knowledge of contraception and family planning, and have provided comprehensive education and educational materials to servicewomen, their leaders, and providers for many years. This includes a long-standing deployment readiness guide first published by the US Army Public Health Command in 2001 (and updated in June 2010) that specifically addresses these issues in an easy-to-understand format. In addition, the US Army Surgeon General has recently convened a Women’s Health Task Force that is actively working on improving products and processes to enhance education and training on a variety of women’s health care topics for servicewomen. We appreciate the efforts of both military and civilian physicians to continue diligently providing contraception education to both servicewomen and the spouses of active-duty servicemen to reduce unintended pregnancies. In addition, initiatives to reduce both occasional and short-term non-use of contraception, which remains a common problem in the United States, are also required. The military health care system and military obstetrician/gynecologists remain committed to these enterprises, along with our Department of Veterans Affairs and civilian colleagues.