Assess the feasibility, safety and results at mean term of laparoscopic promontofixation, and to describe the operative technique. Retrospective study. Department of Gynaecology, Obstetrics and Reproductive Medicine, Caen University Hospital, France. One hundred patients included from June 1993 to June 2001. Pre- and post-operative clinical assessment of pelvic statics problems in accordance with the international POP-Q classification. Annual follow-up of patients and recording of any adverse effects. The number of per-operative, immediate and late post-operative complications, together with the number of cases of recurrent prolapse. The mean follow-up was 43 months with one patient lost to follow-up. The rate of per operative complications was 11% (injuries: 6 bladder; 1 ureter; 1 vaginal; 1 rectal; 2 vascular) with a 4% rate of conversion to laparotomy. The rate of early post-operative complications was 9%, involving 7 patients (4 urinary infections, 3 occlusion syndromes, 1 eventration at a port site, 1 case of lumbo-sacral pain). The rate of late post operative complications was 25%, involving 24 patients (3 vaginal erosions, 2 volvulus of ileum, 5 cases of urinary stress incontinence, 14 cases of de novo constipation and 1 case of chronic pelvic pain). The success rate was 96% with 6 cases of partial recurrence (4 cystoceles and 2 rectoceles). Laparoscopic promontofixation is feasible and safe. The rates of complications and recurrence are comparable to those reported in the literature for procedures carried out by laparotomy. The advantages connected with endoscopic surgery are the reduced trauma to the abdominal wall and the improved anatomical vision provided by the optic fibres; however, the long learning curve means that this procedure should be reserved for confirmed practitioners of laparoscopic surgery.