Its taken me many months to get in to see the doctor with the highest medical training and think she is wonderful but because she is so highly rated now I'm waiting for her scheduler to get back to me with a surgery date . I'm afraid it will be next year if my experience so far is any indication. I've tried a pessary, I was too small for the size I needed - it was like a miracle for 24 hours then it was just part of the problem because my OBGYN said it hadn't fallen and all was fine, May not have fallen out but shifted enough to fell fallen and gave no support. I did pelvic floor therapy until I couldn't because of the prolapse and the doctor I saw said my muscle tone was excellent so never needed that. I'm 78 so like you I'm okay with having the operation to shorten my vagina from 4" to 1". Sitting is horrible and painful and the prolapse feels like it falls further on a daily basis but no sense of urgency on the part of the medical profession. I am very happy for you that you have 90% success with your procedure that must mean your town has more good doctors than mine has. I have a consigliere doctor but learned there was zero follow thru on their part - it was up to me to advocate for myself. I do vaginal creme every night now per instructions. Might be that my CA doctor never told me I needed to use the creme at all for 20 years so have the atrophy as a likely result. Hugs to you and glad you're having a happy ending to an awful problem.