The patient is an 87-year-old female who presented with a history of constipation and bothersome rectal prolapse that required manual rectal prolapse reduction. On exam, she was found to have full-thickness rectal prolapse and stage II posterior vaginal wall pelvic organ prolapse. She desired definitive surgical management of her prolapse and opted for a laparoscopic suture rectopexy and posterior vaginal wall repair and perineorrhaphy. She had anorectal physiology and urodynamic testing, as well as a defecography before surgery to assist surgical planning. The surgery was uncomplicated. She was discharged on postoperative day one and her postoperative recovery was unremarkable.