The trial enrolled 64 females with genital prolapse corrected in 2003-2007 with transvaginal synthetic aids. Urinary incontinence of effort was detected in 53.1% patients with cystocele. Efficacy of surgical treatment of vaginal prolapse was 73.3% in use of anterior colporaphy with implantation of prolen net and 100% in reconstruction of the pelvic fundus by PROLIFT technique. Early postoperative complications (vaginal wall erosion) occurred in 16.7 and 15% patients, respectively. Thus, reconstruction of the pelvic fundus is an operation of choice in severe and combined forms of pelvic prolapse in women.