In reply to baxtersmom and rosemary77: Thanks to all for your discussion about your experiences with considering and then having a sacrocolpopexy. I'm a physically active 69 year old and have been dealing with increasing stages of uterine and bladder prolapse for about 4 years. The pessary didn't work for me. But I've been diligent about getting pelvic physical therapy and doing my exercises daily over the last 3 years. But this spring, my prolapse reached the point where I couldn't do my normal activities (walking every day; gardening; beekeeping; lifting grandchildren) comfortably, especially at the end of the day. My recent visit with my uro-gynecologist ended with her recommendation that I get a sacrocolpopexy. At first I thought getting a hysterectomy as part of this was excessive but my doctor convinced me the results to correct the prolapse would be better. Especially for someone who is physically active. I was worried about the mesh, but it sounds like those issues have subsided with the newer meshes. I'm 15 years past menopause, but am wondering what hormonal changes can I expect after the hysterectomy part of the sacrocolpopexy? I had severe hotflashes (one per hour for 24 hours a day) for several years after menopause. Those have subsided. But could hotflashes come back after this surgery? Other hormonal reactions? Any thoughts from others with recent experiences with sacrocolpopexy? Are people generally still glad they had the operation?