Extensive presacral dissection in laparoscopic sacrocolpopexy increases the risk of damage to the hypogastric nerve plexus and should be avoided. Sarlos et al developed a nerve-sparing technique using extensive and meticulous dissection (Sarlos et al, 2015). Since 2003 we use bone anchor fixation of the mesh to sacral segments 1–3 in laparoscopic sacrocolpopexy and hysteropexy. This technique results in a strong fixation of the mesh below the level of the superior hypogastric plexus. The limited presacral dissection needed for bone anchor application minimizes the risk of hemorrhage. Bone anchor fixation is also feasible in robot-assisted laparoscopic sacrocolpopexy and hysteropexy.