The ASC is performed through an abdominal incision (about 3-4 inches long), laparoscopically (through 4 half inch incisions) or roboticaly. In this procedure straps of permanent graft material made of polypropalene material is used to reinforce the front and back walls of the vagina. These straps are then attached to a strong ligament overlying the sacrum. The end result is that the vagina is suspended over the pelvic muscles to the back-bone. The mesh graft straps replace the original natural support provided by the uterosacral ligaments.