Study Objective To demonstrate laparoscopic excision of sacrocolpopexy mesh for persistent pelvic pain immediately onset after operation. Design Case report. Setting University hospital. Patients or Participants A 62-year-old woman from China. Interventions Laparoscopic resection of sacrocolpopexy mesh. Measurements and Main Results The patient complained immediate onset of pelvic pain after a laparoscopic hysterectomy, bilateral salpingectomy, and sacrocolpopexy for middle compartment pelvic organ prolapse 2 years earlier. A polypropylene mesh was used in the operation. The pain was obvious when walking and doing housework, especially when the hands were raised over the head, and relieved when resting or lying still. She had no sex for 2 years. Physical examination revealed excessive tensioning of mesh. MRI suggested no evidence of bowel obstruction, osteomyelitis, and mesh infection or exposure. At laparoscopy, a well-reperitonealized mesh was noted to begin in the vaginal vault and be fixed to the sacrum at S1 along the right pelvic wall (lateral to the uterine sacral ligament), with excessive tensioning. Surgical steps begin with laparoscopic survey of the anatomy, followed by release of adhesions. After carefully dissecting the right ureter, the mesh was transected close to the sacral promontory and resected at the level of the vaginal cuff angles. A small portion of the mesh was left to fix the vaginal vault to the right pelvic wall. The operative time was 90 min, with 20 ml blood loss. There were no complications. She was discharged on post-operative day 2. On follow-up one month later, there was complete resolution of her symptoms, and 8 months till now with no vault descent. Conclusion This video demonstrates the steps required to perform a partial laparoscopic sacrocolpopexy mesh excision. This may provide a feasible treatment strategy for similar patients in the future.