The most common procedures are listed below: Anterior (front) vaginal wall repair: Also known as anterior colporrhaphy, this is a treatment option for women whose bladder has slipped down and is pushing against the front wall of the vagina (a cystocele). It involves strengthening and tightening the connective tissue between the bladder and vagina in order to lift and support the bladder. Posterior (back) vaginal wall repair: Also known as posterior colporrhaphy, this treatment is considered for women who have a rectocele. This is a prolapse that causes the lower part of the bowel (the rectum) to push against the back wall of the vagina. The surgery involves strengthening and tightening the connective tissue between the vagina and rectum in order to lift and support this part of the bowel. Sacrocolpopexy and sacrohysteropexy: These procedures aim to correct prolapse in the middle of the pelvic floor – for instance, if the uterus (womb) has dropped down. Sacrocolpopexy involves attaching the top of the vagina to the sacrum or coccyx (tailbone) using synthetic mesh. In sacrohysteropexy, the cervix is attached instead. The womb doesn’t have to be removed. Sacrospinous fixation: This is an alternative surgical approach to correcting prolapse in the middle of the pelvic floor. In order to lift the vagina back to a higher position, it is attached to ligaments in the pelvis.