Pelvic organ prolapse is a common gynecologic complaint in which the vaginal walls are weakened, resulting in descent of pelvic organs through the vagina. Prolapse may be asymptomatic or associated with pelvic pressure and difficulties with urination and defecation, but usually is not responsible for pelvic or lower abdominal pain. Treatment options include conservative measures such as a pessary or pelvic floor physical therapy, or surgical correction. Patients should be reassured that prolapse typically is not an emergency or life-threatening condition.