To present a unique case of mesh complication following laparoscopic sacrocervicopexy and discuss the prevalence of mesh erosion in laparoscopic procedures performed for pelvic organ prolapse. Case Report. Major Academic Center. 55yo G3P2012 presents with vaginal discharge 10 months following an uncomplicated laparoscopic supracervical hysterectomy and sacrocervicopexy with anterior and posterior colporrhaphy for symptomatic pelvic organ prolapse. She was maintained on vaginal estrogen for atrophy. Multiple examinations of the vagina revealed only grayish discharge without evidence of mesh. Imaging did not reveal a fistula. Vaginoscopy under anesthesia demonstrated mesh at the prior junction of the endocervix and lower uterine segment. Patient underwent laparoscopic mesh excision with trachelectomy. Mesh was visualized protruding through internal cervical os. Chronic inflammation was noted around mesh erosion, however no abscess or purulence was appreciated. Uterosacral ligament suspension was performed for reinforced vault suspension. Pathology revealed cervical mucosal ulceration with acute and chronic inflammation, and foreign body giant cell reaction to mesh material. Erosion is a known complication of procedures using synthetic mesh for pelvic organ or vault suspension. Concurrent hysterectomy with mesh suspension procedure is a risk factor for erosion, however, rates in the literature are higher with total hysterectomy compared to supracervical hysterectomy. Bacterial infection or devascularization of tissue are thought to contribute to erosion risk. The in situ cervix maintains vascularization, is a barrier to vaginal flora and requires less mesh for suspension. In this case, migration of the mesh into the cervical os resulted in chronic inflammation and impaired healing, presenting as vaginal discharge. Despite use of the cervix as an additional barrier, mesh erosion may still occur in patients undergoing laparoscopic sacrocervicopexy. This unusual presentation highlights the importance of vigilance regarding prevention and management of mesh-related events.