Varying degrees of vaginal prolapse, rectocele and enterocele frequently coexist. Preliminary observations suggest that fascia lata suspension of the upper vagina to the anterior rectus sheath, through a retroperitoneal tunnel, provides optimum correction of these defects. The procedure may be carried out with or without supplemental vaginal repair. Such a repair is dynamic rather than inert, providing constant support of the vaginal apex to counter the continuous effects of intraabdominal pressure. Fascia lata is readily available and simple to obtain. Unlike synthetic substances, it causes no foreign body reaction. Because vaginal length is maintained (and in some cases increased), anatomic potential for continued sexual function is optimal.