Objective:To determine the incidence of postoperative uterovaginal prolapse after pubovaginal sling.Methods:The charts of 28 patients (mean age, 54 years) with intact uteri who underwent pubovaginal sling were reviewed. Preoperative evaluation included a history, pelvic exam, and videourodynamics. Six patients had a concomitant cystocele repair. The average period of follow‐up evaluation was 30 months. Postoperative serial pelvic examinations and telephone interviews were obtained, and all patients with symptoms of pelvic relaxation or urinary incontinence were reexamined.Results:Pelvic examinations were performed on 24 of 28 patients. Uterine prolapse was identified in one patient with spinal dysraphism, which was a contributing cause. No patient developed recurrent stress urinary incontinence.Conclusion:In neurologically intact women with a well‐suspended uterus preoperatively, postoperative uterovaginal prolapse is not a significant complication after pubovaginal sling.