Abstract: Female pelvic floor dysfunction (PFD) is a series of disease of pelvic organ prolapse secondary to pelvic floor support structure dysfunction with a variety causes. With China′s aging society, the prevalence of PFD is increasing. It not only affects the quality of life in elderly women, but also cause the mental and psychological disorders. For the patients with moderate or severe PFD, surgical treatment is the first choice at present. PFD surgery has a long history and various operations. With the development of new medical materials and technologies and updated surgical concepts, many surgical methods have been continuously improved. From vaginal surgery to laparoscopic surgery, from autologous tissue repair to the reconstruction of the entire pelvic floor with synthetic mesh, the success rate of surgery has significantly increased. However, new complications are occurrence along with new techniques and new materials. Though diversity of surgery provides more selections for patients, each surgical method has advantages and disadvantages as well as individualized differences, comprehensive consideration should be made according to age, symptoms, signs, medical history, living habits, sexual life demands and general conditions. Optimal surgical regimen and adequate communication should be made to achieve the best treatment effect.

Key words: Pelvic floor, Female urogenital diseases, Reoperation, Gynecologic surgical procedures, Pelvic floor dysfunction