Inclusion Criteria:  In order to be eligible to participate in this study, a subject must meet all of the following criteria:  Symptomatic apical descent stage II or more. Eligible for both surgical procedures No uterine or cervical pathology. Able to consent to participate in the trial.  Exclusion Criteria:  Women with contraindication to any surgical procedures. Women with previous apical prolapse surgery. One of the two surgical approaches is not feasible. Women with concomitant surgical procedures apart from correction of the prolapse. Women who prefer to have hysterectomy.