Prolapse surgery is almost always elective. That word does not mean unimportant; it means the timing is yours, and there is room to ask questions before deciding. These are the ones that most change what a woman decides.
Which compartment is being repaired, and are there others? Front wall, back wall and uterine descent are different repairs. If more than one compartment is involved, ask whether all are being addressed and what happens if one is left.
What happens if I do nothing for now? Prolapse is not usually an emergency and often progresses slowly. A clear answer about the realistic consequence of waiting six or twelve months tells you a lot.
Have we genuinely tried the non-surgical options? Correctly taught pelvic floor training and a properly fitted pessary are not box-ticking exercises. If a pessary was tried once, in one size, and abandoned, that is not a completed trial.
What is the chance of recurrence? Prolapse can recur after repair. An honest figure, and what influences it in your case, is more useful than reassurance.
How will this affect sex, and continence? Some repairs can change both, in either direction. It should be discussed before, not discovered after.
Do I want more children? If the answer is yes or maybe, that usually changes the recommendation, because pregnancy after repair can undo it.
See a doctor if you have a bulge you can feel, if a pessary cannot be retained, or if symptoms interfere with daily life. And if you are being rushed toward a decision, ask for time — a considered choice is the standard of care here, not an inconvenience.