That's excellent advice, Ladyaceintx1--thank you. And I'm glad to hear that ejoy is not struggling with the same level of prolapse as it sounds like you and I both have. I'm still very interested in learning about others' experiences with surgical repair options, how long the repair continued to work, and whether it's better to do the surgery before a certain age (if it's going to have to get done at some point). I'd especially welcome advice from those with connective tissue laxity, and I'd also welcome recommendations on where to seek care. I definitely don't have an option to do it locally, so if I decide to do it, I'll have to travel regardless. Grateful for the community wisdom on all this.