A pelvic examination wedge made of medical grade foam with a medical grade vinyl cover. The pelvic exam wedge includes a sloping top surface portion that slopes backwards from a front vertical face along sloping edge walls toward a bottom portion. The bottom portion lies flat on a surface, such as an examination table or gurney. The front vertical face connects the bottom portion and the sloped top portion. A semi-circular cut-out extends from the front vertical face parallel to the sloping edge walls to form a cavity in the pelvic exam wedge that is sufficiently deep and wide to allow the unencumbered use of instruments during examination of the patient.