Pelvic organ prolapse (POP) is a prevalent condition that can have a significant impact on a patient's quality of life. Treatment is indicated for patients who are symptomatic or those that have associated bladder, bowel, or sexual dysfunction. The decision to proceed with conservative management or surgery is based on multiple factors, including symptoms, treatment goals, risk and benefits of intervention, sexual functioning, and medical comorbidities. Overall, the lifetime risk of a woman undergoing surgery for POP is 13%. Transvaginal surgical approaches include reconstructive and obliterative procedures. Native-tissue repair has been demonstrated to be a safe and effective treatment option for addressing POP and is an important skill set for gynecologic surgeons. This review discusses the different techniques available for transvaginal POP repair. (J GYNECOL SURG 39:12)
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