This video demonstrates a laparoscopic sacrocolpopexy for pelvic organ prolapse, with detailed discussion of surgical planning in a patient with previous lumbar spine surgery. The surgeon compares sacrocolpopexy with pectopexy and explains how previous sacral procedures influence the choice of fixation. Viewers will learn the techniques of vaginal dissection, mesh preparation, anterior and posterior mesh fixation, and anchoring the mesh to the sacral promontory. The narration also emphasizes strategies to reduce mesh erosion, achieve durable anatomical support, and safely complete the reconstructive procedure. This is an excellent educational resource for surgeons interested in advanced laparoscopic urogynecological surgery.