An orthopedic instrument, the Shutt Suture Punch System, has allowed r
apid (less than 1 minute) and safe introduction of the suspending sutu
re through the sacrospinous ligament, especially in the morbidly obese
patient. Residents-in-training have performed the sacrospinous vagina
l suspension on 30 patients without complications. The remaining aspec
ts of the operation are unchanged.