OBJECTIVES: To understand potential cost and utility outcomes of introducing pelvic floor physical therapy (PFPT) program for Women with Urinary Incontinence (UI) in a middle low income neighborhood in Medellin, Colombia. METHODS: A population perspective was assumed in a middle-low income community of 80,000 people. Prevalence of urge, stress and mixed UI, as well as the percentage of women in each severity level and potential UI improvement post PFPT program was extrapolated from international literature. Direct medical costs and daily routine care costs for the patients were considered and based on current practice costs in a large area public health system. Micro-costing was based in local prices and in the probabilities of resource use based in published clinical data. The effectiveness of PFPT was assumed as the probability for patients moving from more severe to less severe levels of UI according to Sandvik Severity Score. For each of these severity levels, a Utility Index was assigned, based in published estimations. Final costs were converted to USD to allow international comparisons. The Economic model was developed in Excel platform. Univariate sensitivity analyses were done. RESULTS: Based on model assumptions, local population data, and published clinical lieterature, there could be 4.878 women with UI in the community. A PFPT program could provide  yearly savings of USD$1.384.089 in Direct Medical Costs and USD$1.218.213 in daily routine care costs and a total yearly savings of USD$2.602.302 from a societal perspective. This corresponds to a potential 26,7% savings compared to total costs without a PFPT program. There could also be a 5% gain in total QALYs. CONCLUSIONS: A PFPT Program for women with UI in a middle-low income community in Medellin, Colombia could significantly reduce Public Health System costs, patient costs, and   would improve patient’s quality of life.