Pelvic organ prolapse (POP) is a common problem in different age groups, which has a significant impact on the quality of life and leads women to social dizadaptation. It is generally recognized that the most effective way to treat POP in the absence of an effect from conservative treatment is surgery. The review analyzes the publications of modern domestic and foreign literature on the use of various approaches and methods of surgical treatment of female patients with POP. Different methods of pelvic floor restoration have peculiarities, advantages and disadvantages. The choice of one or another method should be based on a combination of many factors, and an individual approach to the choice allows to expand the possibilities of plastic surgery with the maximum positive result. At present, the search for the optimal material for the correction of POP by vaginal access continues. The use of native tissues for reconstructive surgeries in POP implies a high rate of recurrence of the disease, and the use of synthetic implants in vaginal access often leads to implant-associated complications, which are manifested by pain, pathologic discharge, dyspareunia and various urinary disorders. It is promising to conduct further studies to evaluate the efficacy and safety of xenografts in pelvic floor surgery.