Brought to you by the Society of Gynecologic Surgeons. In this video, the authors illustrate the surgical anatomy of the uterosacral ligament colpopexy. They present images from both cadaveric dissection and live surgery to offer key steps of the procedure from several angles and perspectives. The techniques highlighted include locating and protecting the ureter and rectum, identifying the uterosacral ligament, placing and anchoring the sutures, and elevating the vaginal cuff.