**5. Conclusion**

Post hysterectomy vaginal prolapse is a challenging condition that requires adequate evaluation, counselling and appropriate management plan. It is becoming commoner because of increased longevity, withdrawal of vaginal meshes and changing techniques of fixing the vault at hysterectomy. Risk factors should be sought and appropriate measures taken to reduce these. Conservative care should always be attempted when appropriate before surgery. Surgery should be undertaken by a suitably trained surgeon ideally in a multidisciplinary set up.
