Inclusion Criteria:  English speaking, able to understand informed consent Vaginal hysterectomy with vaginal vault suspension with or without anterior and posterior repairs with or without removal of fallopian tubes or ovaries with or without procedures for stress urinary incontinence  Exclusion Criteria:  Use of mesh for prolapse repair Robotic, laparoscopic, or open technique used for prolapse repair and/or hysterectomy Concomitant procedure done by an additional surgeon Concomitant anal sphincteroplasty or rectovaginal fistula repair History of chronic pelvic pain receiving medical care Daily use of medication for pain: NSAID, Tylenol, opioid, gabapentin, and/or amitriptyline Pregnancy