Physical therapists have the educational and practice requirements as outlined in the current guidance document to incorporate Trigger Point Dry Needling in their treatment of patients in the state of Virginia. Physical therapists are highly educated medical professionals who have the clinical reasoning and practical skills to use a variety of modalities to manage simple and complex patients. Trigger Point Dry Needling (TPDN) is once such modality. Students are taught the physiological mechanisms of TPDN and practice the technique for skill acquisition before graduation from many physical therapista educatioan programs, including the Doctor of Physical Therapy program at Marymount University in Arlington, Virginia. Trigger Point Dry Needling is not the same as acupuncture as the treatment method and goal is different; Trigger Point Dry Needling addresses hyperirritable areas in the muscle tissue. Only the implementation device is the same, the needle. There are other implements (e.g. electrical stimulation and ultrasound machines, virtural reality, Wii and Kinect systems) that are used across different medical professions for varying purposes depending on the underlying reasoning for its use. As Physical Therapists have the educational background to effectively and safely apply Trigger Point Dry Needling, a treatment modality that is not the same as acupucture, the Virginia Board of Physical Therapy should continue to allow Physical Therapists to practice TPDN in Virginia.