The document discusses the initial assessment of a gynecologic patient, including communication skills, history taking, and physical examination techniques. The physical examination involves inspection of the external genitalia, breast and abdominal examination, speculum examination of the vagina and cervix, bimanual pelvic examination, and in some cases rectal examination. Minor diagnostic procedures like colposcopy, endometrial biopsy and cryosurgery are also outlined. Good communication and rapport building are essential for the assessment.