Our patient is a 48-year-old para 2 who underwent a roboticassisted supracervical hysterectomy, sacrocolpopexy, posterior colpoperineorhaphy, and cystoscopy for stage 3 prolapse 3 years ago. The surgeon used monofilament polypropylene lightweight mesh and attached it to the cervix, vagina, and sacrum with braided non-absorbable polyethylene terephthalate sutures. On postoperative day 7, she underwent a primary repair with permanent sutures of an 8-mm port site hernia with associated small bowel obstruction and bowel incarceration. One year later, she reported persistent vaginal drainage. CT imaging was concerning for a possible enterovaginal fistula. She underwent an exploratory laparoscopy, lysis of adhesions, and colonoscopy. On vaginal inspection, there was vaginal mesh and suture extrusion distal to the anterior cervix draining clear fluid. The exposed suture and mesh were removed, and