Research by Steen and Marchant (2007) stated that cryotherapy is a safe and effective nursing intervention for the treatment of perineal pain in women. When applying this evidence to practice, there are a number of implementation challenges, such as cost of treatment, practice environment, and lack of standardization. Furthermore, the application of this evidence to the clinical context should not supplant the nurse's clinical judgment or patient preferences. Finally, before developing best practice guidelines in the care of perineal pain, it is necessary to conduct more comprehensive research addressing application timing and use for women who have had