A lot of fitters used to measure from the tip of the saddle. That was not anatomically meaningful, but it was easy. Now with the popularity of short nosed saddles (ex. Specialized Power saddle) and "noseless" triathlon saddles (ISMs, Fizik Mistica, etc.), it is more common to measure to the sit bone contact point (road) or ischial contact point (TT/tri). Fitters will often mark this with tape on the saddle early in the fit so they are measuring to a constant point.
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