Since the introduction of the tension-free midurethral sling by Ulmsten and Petros, an estimated 1 million cases have been performed worldwide. Since then, new operative techniques have been developed, with a variety of trocars, sling materials, and anatomic areas through which the trocars are passed. As an alternative to the retropubic approach, Delorme et al. introduced the transobturator midurethral sling that is passed through the obturator foramen, a method lauded to have fewer complications.