Robotic sacrocolpopexy is one of the most common surgical treatment for POP, and is most often performed using synthetic polypropylene mesh. However, due to the recent controversy surrounding synthetic materials, a new technique using an autologous graft has been
developed.

We present a complete surgical technique of fascia lata harvesting, first via an open approach and then using a robotic approach.
We then describe a surgical technique for anterior synthetic mesh removal, followed by anterior fascia lata sacrocolpopexy.

The patient is placed in Trendelenburg 23° position, legs slightly abducted and lowered. The first step of the procedure is fascia lata harvesting, measuring 12–14 cm in length and 4 cm in width. This can be performed through either an open or robotic approach.
A transperitoneal laparoscopic approach is then performed. The Medtronic robot is docked during fascia lata harvesting in cases of open collection.
We begin by dissecting the promontory to identify the previous mesh, and to prepare for fascia lata sacrocolpopexy. The dissection then follows the mesh along the posterior plane of the bladder to achieve complete removal.
Dissection of the vesicovaginal plane is performed until sufficient exposure is achieved.
The fascia lata graft is positioned in the dissected plane and fixed to the anterior vaginal wall and cervix. The graft is then anchored to the promontory, and anatomical correction is verified by vaginal inspection. Finally, the peritoneum is closed.

We describe the complete removal of an anterior synthetic sacrocolpopexy mesh and the placement of a fascia lata graft. In selected cases, such as those with a history of synthetic mesh complications, fascia lata sacrocolpopexy appears to be a feasible alternative.