The surgery is aimed at eliminating the prolapse of the posterior vaginal wall, reducing the volume of the vagina, and correcting postpartum changes in the perineum using additional thread perineoplasty. It helps to strengthen the perineal muscles and eliminate the gaping of the genital slit. This method combines the classical technique of posterior colporrhaphy (plastic surgery of the vaginal wall) with the use of notched threads that have a long resorption time (about 15-18 months) and are gradually replaced by their own fibrosis, which continues to perform the function of mechanical support of the muscles. The operation can be performed under local or intravenous anesthesia, which is determined by the doctor during the consultation.