The fourth day of Congress was opened by a session on urogynaecology, streamed live from the Israel Forum of the FIGO 2021 World Congress. Dr Shimon Ginath started the session and set the scene for the discussion on tailoring the optimal management for apical compartment prolapse. Dr Tal Fligelman took the stage first to explain vaginal approaches to surgery, followed by Dr Jonia Alshiek who reviewed the abdominal approach. The session ended with a brief but extremely engaging panel discussion.