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Message: <blockquote data-quote="durath" data-source="post: 510858" data-attributes="member: 832">choke holdThe above posters are correct. Lets say the monk in your example had won initiative. If on his turn in the round he pins the orc that means that the orc will go next. On the orcs turn his only option in the grapple would be to try and escape the pin. If he does the monk has not maintained the pin and the orc is not subject to the choke hold.If the orc does not break the pin then he has to make that fortitude save the next round. It may sound like it is easy to maintian a pin on someone but when  characters start getting iterative attacks it gets a lot more difficult.Also, don't discount the seriousness of choke hold rendering someone unconscious. When you choke someone out they are helpless, which means you could perform a coup de grace on them.</blockquote>