Wong NKL, Cheung RYK, Lee LL, et al. - Due to concerns over the complications associated with mesh repair surgery for pelvic organ prolapse (POP), this surgery is suspended in some countries. However, reduce risk of prolapse recurrence after surgery has been observed in correlation with undergoing mesh repair. In view of the controversy, researchers sought to determine the group of women which is the most appropriate for undergoing mesh repair surgeries where the benefits would outweigh the risks. They conducted a prospective observational study including a total of 154 Chinese women who presented with stage III or IV POP and received primary prolapse surgery from 2013‐18. Among these women, 104 (67.5%) women received mesh repair surgery (57 transabdominal and 47 transvaginal) and 50 (32.5%) women received native tissue repair surgery for their stage III or IV prolapse. Compared with native tissue repair, mesh repair surgery resulted in 6‐fold and 5‐fold lower objective and subjective recurrences in women with stage III or IV POP. In women also with levator ani muscle avulsion, a 4‐fold reduction was noted in both objective and subjective recurrence. There was low mesh complications rate that could be treated conservatively or by minor surgery. For these high risk women, the benefit of mesh surgery seems to outweigh the risks of mesh complications and hence they suggest considering this surgery as an option for this group of women.