This chapter, written for undergraduate medical students and post-graduate doctors in training, presents information on how to manage sexual abuse — a case which they are likely to encounter in the future in a general practice setting. It presents the case of a girl 13 years of age sees her general practitioner accompanied by her mother. She is finding it hard to explain why she has consulted the GP so her mother tells what has happened. After this consultation, the girl disclosed to her mother that she had been recently sexually abused by a neighbour. The chapter provides details of the patients' medical history and the key findings of clinical examination, together with initial investigation results data for evaluation, and helps them develop their skills of clinical reasoning. Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan.