According to epidemiological studies, sexual dysfunction affects roughly one third of women with pelvic organ prolapse (POP). POP can lead to a loss of self-esteem, difficulties bonding to the opposite sex, and even the abandonment of sexual activity. Women with POP are less satisfied with their sexual activity than women without: they have a weaker emotional closeness to their partner and report feeling desire and pleasure less frequently. Furthermore, they are more prone to experience pain during intercourse. Anatomically, this could be the result of mechanical blockage, vaginal wall laxity, or both. Furthermore, when POP and urine incontinence are present, sexual activity is compromised because to coital incontinence, which can occur concurrently. Sexual function may improve with anatomical repair of POP. The benefits of POP correction must be balanced against the risks associated with vaginal surgery. Because the vagina is a sexual organ whose proper functioning is based on normal anatomical and neurovascular elements, any POP surgery is likely to have an impact on sexual function. So far, the evidence on the effects of POP surgery on sexual life is equivocal. The divergence in these results could be attributed to both cultural and methodological reasons.