The exact timing of when to start pelvic floor therapy after giving birth depends on the birth type (vaginal/cesarean), whether you had any complications during delivery, and your overall health and recovery. In general, you can start pelvic floor therapy after your six-week postpartum checkup. This allows your body time to heal from childbirth. However, if you had a difficult delivery, such as a forceps or vacuum-assisted delivery, a tear, or episiotomy, you may want to start therapy sooner.