With the mean follow-up of 20.9 month, the anatomic results were satisfactory without recurrence in 14 patients (73.68%), satisfactory with improvement of prolapsus condition (grade 2) in 2 patients (10.52%), and not satisfactory with recurrence in 3 patients (15.8%) Conclusion: Sacral colpopexy by laparoscopy is possible, safe and efficacious for treatment of severe genital prolapsus in female.