To enhance male-female sexual compatibility, principles of physical alignment were formulated to make clitoral contact possible in coitus. The Coital Alignment technique combines (a) the "riding high" variation of the "missionary" coital posture, with (b) genitally focused pressure-counterpressure stimulus applied in the coordination of sexual movement. It was hypothesized that the Alignment technique would correlate with high frequency of female orgasm and partner simultaneity. A questionnaire was given to a group of males and females (n = 43) who had learned the Alignment technique, and to a volunteer group (n = 43) who had no knowledge of the Alignment concept. The mean age for the experimental females (n = 22) was 39.7, and for the control females (n = 22) was 38.7. Analysis of variance and post-hoc LSD procedures conducted on the key dependent variables showed significant differences (p less than .05, two-tailed) between experimental and control females, favoring experimental females on the orgasmic attainment criteria of coital orgasm, simultaneous orgasm, and orgasm experienced as "complete and satisfying." Pearson Product Correlations were conducted across all four groups, experimental and control males and females combined (N = 86). Greater adherence to behaviors associated with the Coital Alignment technique--learned and incidental--had a significant positive correlation with the above and additional sexual satisfaction variables (p less than .01). The Alignment technique may be an important option for a majority of women that have difficulty in attaining orgasm in coitus.