A surgical procedure for repairing vaginal prolapse, including apical descent (vaginal vault or uterine descensus), cystocele and/or rectocele, avoids bladder injury, the need for laparoscopic suturing, and difficulties in tensioning the mesh used to hold the vagina in the correct anatomical position, and can be practiced with off the shelf components. The procedure typically comprises exposing a female patients peritoneum making a peritoneal incision (e.g. over the patients sacrum) mobilizing the peritoneum incising the patients vagina and attaching the anterior and posterior surfaces of a first (e.g. generally rectangular) mesh component, with a truncated stem and first locking element, to the apex of the patients vagina passing a mesh base component having a second locking element at a distal end, and a proximal end, underneath the peritoneum moving the first and second locking elements together into locking relationship anchoring the mesh base (e.g. to the sacrum, so that the mesh components suspend the vaginal apex from the sacrum) and closing the peritoneal incision. Particular mesh components with locking elements, and a surgical spreader for use in the procedure, are desirable.
