This document summarizes the origins, insertions, nerve supplies, and actions of three muscles in the sacral region: the piriformis, iliacus, and coccygeus. The piriformis originates on the sacrum and inserts on the greater trochanter, laterally rotating and abducting the thigh. The iliacus originates on the ilium and sacrum and inserts via the iliopsoas tendon on the femur, flexing the thigh and assisting with lumbar extension. The coccygeus originates on the ischium and inserts on the coccyx and sacrum, pulling the coccyx forward after defecation to close the pel