The purpose of this article is to illustrate clinical applications of 3D T2-weighted MRI in pelvic imaging. We review technical considerations of 3D T2-weighted MRI with clinical examples. 3D T2-weighted MRI has been increasingly utilized for pelvic applications, including imaging of rectal cancer, prostate cancer, anorectal fistulas and the female pelvis. This relatively rapid technique offers good soft-tissue contrast of the pelvic organs, with potential for more widespread clinical use.