We would like to congratulate Porcari et al. on their thorough and well-performed systematic review and meta-analysis of hysterectomy versus uterine preservation in pelvic organ prolapse surgery.1 However, based on existing research it is misleading to pool uterus sparing procedures in the comparison with hysterectomy. The interesting scientific question is rather: Which procedure is the best treatment of pelvic organ prolapse regardless of preservation of the uterus?