The pelvic organs (uterus, bladder, rectum, and urethra) are held in place by muscles of the pelvic floor. Layers of connective tissue called fascia also provide support. These supporting muscles and fascia may become torn or stretched, or they may weaken because of aging or childbearing. As a result, the organs that they support can drop downward (prolapse). Pelvic reconstructive surgeries are the procedures that correct these defects and restore the normal pelvic anatomy to what it used to be before the support problems happened. There are many types of prolapses like uterine prolapse, cystocele, or rectocele. Women who want to have children should consider having them before they have surgery for pelvic support problems. If a woman with a pelvic support problem does become pregnant, she can discuss with her health care provider the best way to give birth and prevent future prolapse. The surgery might be done from abdomen or vagina depending on the type of defect and your surgeon’s preference. Please note that the indication for pelvic reconstructive surgery is medical symptoms that patients have from pelvic organ prolapse. These procedures are different from cosmetic vaginal procedures. So-called "vaginal rejuvenation," "designer vaginoplasty," "revirginization," and "G-spot amplification" are vaginal surgical procedures being offered by some practitioners. These procedures are not medically indicated, and the safety and effectiveness of these procedures have not been documented.