Introduction and Hypothesis <p>Fascia lata (FL) is an alternative to mesh for pubovaginal sling (PVS) or abdominal sacrocolpopexy/hysteropexy (ASC). Literature on perioperative complications is sparse. We aim to evaluate the morbidity associated with the FL harvest for treatment of female pelvic floor dysfunction.</p> Methods <p>Women undergoing FL harvest Feb 2021–May 2025 at a surgeon’s private practice and tertiary public hospital. The same harvest technique was used, with graft size depending on the indication (mean size ASC; 13 × 4&#xa0;cm; PVS 10 × 2&#xa0;cm). Thigh issues were ascertained by direct questioning and serial follow-up.</p> Results <p>Two hundred and one women had FL harvesting, with median follow-up of 12&#xa0;months (range 3–67). Median age 66&#xa0;years (range 35–81) and mean BMI 27.7&#xa0;kg/m² (SD 4.4). There were no intra-operative complications of the harvesting. Immediate postoperative complications included one thigh haematoma (ASC) requiring blood transfusion and drainage. At 6&#xa0;weeks, 64 women (32%) reported ‘any’ thigh issue, with pain/discomfort the most common (<i>n</i> = 33, 17%). Intervention was rare; two with seroma had aspiration attempted but nothing drained, and five required occasional simple analgesia. At median follow-up of 12&#xa0;months (range 3–67), 28 (17%) reported ‘any’ thigh issue on direct questioning. The majority were cosmetic (<i>n</i> = 14, 8%) followed by non-bothersome paresthesia (<i>n</i> = 7, 4%) and discomfort (<i>n</i> = 9, 5%). Two underwent hernia repair with a biological graft. Prospective follow-up of ASC harvest saw thigh issues decline over time. Cosmetic defect was the most common remaining complaint on questioning at 12&#xa0;months (<i>n</i> = 18, 24%).</p> Conclusions <p>Most concerns were minor and required no intervention. No functional deficits were reported and complaints decreased over time.</p>