Sacrospinus ligament fixation is a vaginal procedure to attach the top of the vagina or cervix to pelvic ligament (sacrospinus ligament) with a permanent stitch. This stitch is supported by piece of biologic tissue. This procedure is done under general anesthesia. A hysterectomy does not have to be performed at the time of surgery. Often you are kept overnight after surgery with a catheter and packing that is inserted vaginally to prevent bleeding. You will typically be in the hospital overnight and be able to leave once the packing and catheter are removed and you can empty your bladder. This procedure is associated with success rates of 80-90%. This procedure can be done in conjunction with procedure to treat stress incontinence. What to expect afterwards: Vaginal bleeding similar to a heavy to moderate period is normal for several weeks after surgery. Some pelvic pressure or discomfort is common.  If severe, let your doctor know. You will be instructed to do no heavy lifting, intercourse, bathing or swimming in a pool for 6 weeks. You may shower the next day, drive when you are no longer on pain medicine and moving your legs normally, and resume normal daily activities as tolerated. No baths until seen by your urologist for follow-up in the office.