Pelvic organ prolapse affects millions, yet many women remain untreated.

• Only 18-50% of women seek treatment due to limited knowledge and access issues.
• Monitoring asymptomatic patients is valid; up to 40% show improvement without intervention over 60 months.
• Native tissue repair is now the recommended first-line surgical option, emphasizing patient-reported outcomes over anatomical focus.

Choose treatments based on symptom severity and individual preferences to improve patient satisfaction and outcomes.

• Pessary success rate exceeds 90%, offering a non-surgical alternative with notable persistence.