Pelvic organ prolapse refers to a laxity in the female pelvic floor musculature that results in prolapse (or “dropping”) of the bladder, uterus, intestines, rectum, or a combination of these organs into the vagina. Pelvic organ prolapse may occur in up to 50% of women who have undergone childbirth, however, it may or may not be associated with urinary, bowel, or sexual symptoms. In developed countries such as the United States, pelvic organ prolapse rarely requires emergent intervention and treatment is typically elective. The prolapse may or may not worsen over time. Treatment options include observation, pelvic floor exercises, pessary devices (temporary vaginal device that holds the prolapse up), or surgery. Women with pelvic organ prolapse are managed on an individual basis and should discuss symptoms, physical exam findings, and treatment options with their urologist.