Wen Q, Zhao Z, Wen J, et al. - Many obese women with pelvic organ prolapse require surgery, and sacrocolpopexy is thought to be an effective method to correct apical prolapse. However, to the authors’ knowledge, no formal summarization of epidemiological studies have been done. Performing a systematic literature search of Pubmed, Medline (Ovid) and Embase databases, they identified 7,315 patients in 12 studies for inclusion in this meta-analysis. For obese women vs non-obese women, similar complications and curative effects of sacrocolpopexy were observed, except for the higher laparoconversion rate, higher rate of infection, longer operative duration and higher estimated blood loss in obese women. The operational difficulty of sacrocolpopexy increases to a certain extent in correlation with obesity, although it does not enhance the mesh erosion rate or prolapse recurrence rate. They emphasize gynaecologists to be aware of the possibility of the abovementioned risks when considering sacrocolpopexy for obese patients with middle pelvic defects.