Urogynecological surgeries aim to restore and preserve quality of life and enable social participation with as few impairments as possible. In addition to bladder and bowel function, sexual function is often affected in the context of pelvic floor dysfunction. This article aims to present the impact of various surgical techniques for pelvic floor reconstruction on female sexual function. Both anatomical knowledge and psychosexual aspects are discussed. Reconstructions using native tissue as well as synthetic mesh and different surgical approaches for the treatment of pelvic organ prolapse and urinary incontinence are examined, also with respect to their effects on sexuality. Surgical outcomes and therapeutic options are presented. The findings highlight the need for individualized patient education and counseling.