The low estrogen level of women in old age makes the pelvic floor tissues and the suspension device of the uterus weak and the tension is reduced, making uterine prolapse easy to occur. Treatment measures should be decided according to the degree of prolapse and the accompanying symptoms: in mild cases, nutrition should be strengthened, pelvic floor exercises should be performed, and local estrogen should be used; in moderate to severe cases with symptoms, surgery should be chosen. lengthening; 3. Transvaginal total hysterectomy and anterior and posterior vaginal wall repair: suitable for elderly patients with uterine prolapse, uterine prolapse with atypical cervical hyperplasia, functional uterine bleeding, small uterine fibroids or uterine prolapse with severe vaginal wall angulation that cannot be retracted; 4. Laparoscopic uterine suspension without uterine excision, suitable for simple uterine prolapse; 5. Vaginal closure: suitable for postmenopausal Patients with smooth cervix, no requirement for sexual life, and moderate or severe bulging of the anterior and posterior vaginal walls. Before surgery, it is recommended to take a sitz bath with potassium permanganate solution. Use estrogen ointment to improve the local mucosal state and reduce surgical complications. If urinary incontinence is present, a preoperative urodynamic test should be performed to assess the function of the urethral sphincter. Postoperative precautions 1. Keep the bowels open after surgery, avoid coughing, avoid leading heavy objects, and insist on doing anal lift exercises; 2. Use local estrogen and recommend long-term use of Ovitin; 3. Review regularly.