The patient is a 38-year-old female who presented with fecal incontinence, constipation, and stress urinary incontinence. She was found to have stage II posterior vaginal wall prolapse. She desired definitive surgical management of her prolapse and opted for posterior vaginal repair. Although stress urinary incontinence was demonstrated on urodynamic testing, the decision was made not to proceed with concurrent mid-urethral sling given her history of pelvic floor dyssynergia and intermittent urinary retention. The surgery was uncomplicated, and she was discharged on the day of surgery. Her recovery was unremarkable.