Analysis of data relating to 2,756 US Medicare beneficiaries who underwent repair surgery for pelvic organ prolapse in 1999 revealed 10-year reoperation rates of 20.2% for isolated anterior colporrhaphy compared with 11.6% for repair surgery accompanied by a concomitant vaginal apical support procedure. Appropriate use of apical support might reduce the 30% long-term rate of recurrence associated with this type of surgery.