The aging of the baby-boomer generation has resulted in a rise of the population of women in the United States between the ages of 45 and 54 years. The hallmark health issue of midlife women is menopause and the menopause transition (MT). Symptoms associated with the female aging process have been shown to significantly affect health-related-quality-of-life (HRQoL). An increase in complex decision making factors and lack of updated knowledge in menopause treatment, have resulted in deferment by providers to treat menopausal symptoms. Studies have concluded inadequate updated of midlife women’s care is a detriment to women, leads to fragmentation of health care delivery and potentially reduces HRQoL. Health-related-quality-of-life has been recognized by the National Institutes of Health and the Centers for Disease Control as a significant indicator of population health and wellbeing. An organizational change to address the gap of women’s care during the menopause and MT, was the development of a consultative Midlife Women’s Clinic.