Brought to you by the Society of Gynecologic Surgeons. In this video, the authors demonstrate their technique for performing uterosacral ligament colpopexy including visualization and isolation of the uterosacral ligaments, identification of important surrounding anatomic structures, suture placement through the uterosacral ligaments, suture anchoring to the vaginal cuff, and suspension of the apex. Also described are techniques to avoid ureteral kinking and strategies for management, and concomitant procedures for prolapse and urinary incontinence to restore normal anatomy and function.