This video demonstrates Total Laparoscopic Hysterectomy with Sacrocolpopexy by Dr. R K Mishra at World Laparoscopy Hospital. Treating pelvic organ prolapse (POP) with uterine conservation and sacral gastropexy has uncertain subjective and objective outcomes. We sought to compare laparoscopic sacral hysteropexy with laparoscopic total laparoscopic hysterectomy (TLH). Clinical data of patients who underwent TLH and patients who underwent laparoscopic sacral hysteropexy performed were reviewed retrospectively. Laparoscopic sacral hysteropexy versus laparoscopic sacrocolpopexy with hysterectomy for pelvic organ prolapse