The majority (≥90%) of patients with patellofemoral disorders can be treated successfully with nonoperative treatment regimens. Nonoperative treatment regimens require a meticulous review of the historical facts, a physical examination that focuses on the precise location of pain, patellofemoral mobility, and alignment and positioning, as well as lower-extremity alignment and foot positioning. Routine radiographs supplemented by special axial views of the patellofemoral joint may be helpful in establishing a diagnosis of patellofemoral dysplasia. Specialized studies, such as computed tomography and magnetic resonance imaging, performed at various degrees of knee flexion may also aid in determining whether there is patellofemoral dysplasia or patellofemoral malpositioning. A well-defined nonoperative treatment regimen designed to correct patellofemoral mechanics (by way of strengthening exercises, bracing, taping, etc.) is of primary importance in the nonoperative treatment regimen. Physical therapy treatment modalities such as ice, heat, ultrasound, Tens units, etc., may also play a role. A trial period of antiinflammatory medication is indicated in almost every case. Counseling in regard to the pain problem is crucial. Consultation with a pain management service and the utilization of other resources available through such a service can be very helpful (support groups and group counseling). Persistence, patience, and perseverance will ensure success in the vast majority of patients with patellofemoral pain or patellofemoral disorders.