This video demonstrates the case of a woman suffering from pelvic prolapse. A laparoscopic colposacropexy combined with Total Laparoscopic hysterectomy is performed by Dr. R.K. Mishra at World Laparoscopy Hospital. This is a complex procedure, which requires a perfect knowledge and understanding of both the pelvic anatomy and of the surgical technique for an adequate repair of defects. The standardized technique is followed, showing the six-point technique for the fixation of both anterior and posterior mesh. Total Laparoscopic Hysterectomy is one of the most common surgical procedures performed. Although this procedure is most commonly performed via an open abdominal or vaginal approach, laparoscopic hysterectomy has been increasing in popularity. For pelvic organ prolapse TLH with Laparoscopic Sacrocolpopexy in Method of Choice.