<prompt> A 28-year-old female P3, has IInd degree of utero-vaginal prolapse. The management of choice is:Fothergills repairWertheims hysterectomyPerineal exercises x3 monthVaginal hysterectomy with vault repair  <response>: Ans. is a, i.e. Fothergills repairRef: Shaw 15thed, p339; Jeffcoate 7thed, p289Fothergills operation Manchester Repair is done in women below 40 years, who want to retain their menstrual function.In both questions 1 and 2 patients are less than 40 years and multiparous so, Fothergills repair is the ideal management for them.Fothergills repair causes complications of pregnancy like incompetent os, habitual abortion and cervical dystocia therefore in a multipara who have completed their family we can do tubal ligation to prevent pregnancy.If the family is completed, vaginal sterilization is to be done. - Ref: Dutta Gynae 6thed, p216Thus the answer is Fothergills repair with tubal ligation 