The use of mesh and graft in pelvic reconstructive surgery has increased over the last decade. As the use of these products increased, the frequency and complexity of mesh-related complications has also increased. Management of complications resulting from mesh placement requires a thoughtful, systematic approach. Although many mesh complications can be managed nonsurgically, a significant proportion will require surgical excision of some or all of the mesh. Mesh excision is often successful in treating even serious complications, however a notable portion of patients will require more than 1 operation and complete symptom resolution is not always achieved.