Objective :- The purpose of this study was to determine the simplicity, safety, anatomic and functional Success of using the uterosacral ligaments for correction of significant pelvic organ prolapse by vaginal route in comparison to the conventional method. Methods :- This study was conducted in the Department of obstetrics and gynecology S.C.B.Medical College, Cuttack. In the period between 2006-2008. 50 cases with significant uterovaginal prolapse were selected randomly and of which 25 cases were operated by the conventional method and other 25 cases by uterosacral ligament fixation to the vaginal vault.