Naval1, A. Padmawar2 1Obstetrics and Gynaecology, Naval Hospital, Jalgaon, India 2Obstetrics and Gynaecology, S.L. Raheja Hospital, Mumbai, India Vault prolapse following hysterectomy is more likely if there was pre-existing pelvic floor defect or prolapse. Uterosacral ligament vault suspension during total laparoscopic hysterectomy is a commonly done procedure to prevent vaginal vault.