Over sixty years ago, surgical mesh was routinely used during hernia repair surgeries. By the 1970’s American gynecologists saw the potential in using this same type of mesh to repair pelvic organ prolapse. Mesh was used in an “off-label” fashion by surgeons for decades during pelvic organ prolapse and by the mid-90’s it was becoming more and more common to use the same mesh used in hernia surgeries to treat SUI. Eventually, in 1996, the FDA approved surgical mesh specifically for use in stress urinary incontinence surgeries and in 2002 followed suit by approving surgical mesh specifically for the repair of pelvic organ prolapse. Over time surgical mesh has seen an evolution in the manner in which it is used as well as the various types of surgical mesh used.