Recently, our gynecology department admitted a patient with “vaginal fornix bulge (degree IV)”, who was 67 years old and had undergone total open hysterectomy and bilateral adnexal resection in a local hospital for “uterine prolapse” 5 years ago. She consulted the gynecology department of our hospital. Due to the anatomical changes of the pelvic organs after hysterectomy, it was difficult to be corrected by the traditional operation. Prof. Xue Min actively organized the whole department to discuss the case, and Associate Prof. Zeng Fei, who was a clinical visiting scholar at Megee-Womens Hospital of UPMC, suggested that laparoscopic sacral vaginal fixation (1aparo scopicsacral colpopexy (LSC)) could achieve good therapeutic results, and LSC is a laparoscopic Using mesh to fix the prolapsed vaginal vault on the sacral promontory, this procedure requires the operator to have a skilled level of laparoscopic technique, which is not much carried out in China and has not been carried out in our province. After the whole department decided the operation plan, on March 4, Professor Xue Min and Associate Professor Zeng Fei successfully performed the first laparoscopic sacral vaginal fixation for this patient in our province. The operation went very smoothly, with only 20 ml of bleeding during the operation, which lasted for 1 and a half hours. The patient was discharged from the hospital 6 days after the operation with minimal trauma, quick recovery and good results. The patient was discharged from the hospital 6 days after surgery with no discomfort at 1 month postoperative follow-up. LSC is indicated for uterine prolapse, vaginal vault prolapse and uterine prolapse with bladder or rectal bulge (mid-pelvic defects). The procedure can better restore the vaginal axis and maintain sufficient vaginal length, and is not only suitable for patients with vaginal vault prolapse after hysterectomy, but also for young patients with pelvic floor dysfunctional diseases to better restore pelvic floor function and improve sexual satisfaction, with the advantages of small incision, reduced postoperative pain, shorter hospital stay, faster recovery, high cure rate, low recurrence rate, and lasting effect. According to the search, this case of LSC is the first reported case in Hunan Province. The successful implementation of this technique is also attributed to the favorable initiative of the Third Xiangya Hospital to encourage young and middle-aged backbone physicians to go abroad for further training and study, and is another achievement of the Third Xiangya Hospital of Central South University to implement science and technology to promote the hospital, and the implementation of this procedure further establishes the leading position of gynecological lumpectomy in the province of the Third Xiangya Hospital of Central South University.