Abstract Introduction: Mesh erosion through the vagina is the most important complication of pelvic organ prolapse repairs using synthetic mesh. The initial surgical approach to treat this complication is usually the vaginal access. Nevertheless, transvaginal mesh excision may have some technical difficulties. Recently, some authors have described an innovative technique to treat mesh extrusion by vaginoscopy.1 In this video, the authors demonstrate the surgical steps of this technique, confirming the feasibility and reproducibility of it. Materials and Methods: A 77-year-old lady submitted to total laparoscopic hysterectomy and promontofixation using synthetic polypropylene mesh, presenting mesh erosion through the vagina 3 years after the initial procedure. She complained about vaginal discharge and bleeding. On physical examination, the mesh could be visualized at the vaginal vault. Surgical treatment by vaginal access was then proposed. One single-port device (SILS port) was placed transvaginally usin...