Purpose of Review <p>The goal of this review is to provide an updated overview of the evaluation, diagnosis, and non-surgical management of stress urinary incontinence (SUI) in women, a prevalent chronic condition. We aim to highlight current best practices for diagnosing SUI, describe the latest evidence around non-surgical treatment modalities for SUI, and strategies for clinicians in optimizing care for women experiencing SUI.</p> Recent Findings <p>Recent literature emphasizes the importance of thorough history-taking and physical examination, including the use of validated questionnaires and bladder diaries, to accurately diagnose SUI. Urodynamic testing is now reserved for complex or unclear cases. Weight loss in obese and overweight patients results in significant improvement in SUI. Pelvic floor muscle training (PFMT) is offered as first-line therapy, with evidence supporting its efficacy across age groups and severity levels. Digital health tools and supervised physical therapy may enhance adherence and outcomes. Additionally, devices such as vaginal pessaries and inserts provide symptom relief, particularly in women seeking non-invasive options and have not completed child-bearing. Behavioral interventions, including weight loss and smoking cessation, complement physical therapies. In-office urethral bulking is a procedure with moderate/good efficacy and tolerability.</p> Summary <p>The evaluation and non-surgical management of SUI should be individualized and guided by a comprehensive clinical assessment. PFMT remains the most effective first-line intervention, with adjunctive therapies offering further benefit in selected patients. With proper diagnosis and conservative management, many women experience significant symptom improvement without the need for surgical intervention.</p>