As mean life expectancy is extending, needs for surgical management of pelvic organ prolapse and urinary incontinence increase. Along with them exists an increasing demand for tape and mesh revision surgery, but also a relatively constant need of fistula repair. Laparoscopic approach has many advantages over open abdominal approach, including better anatomic visibility. Other advantages include shorter hospitalization, decreased postoperative pain, and mostly better cosmetic result due to smaller incisions. Modern robotic surgery is relatively new to pelvic reconstructive surgery, where the major benefit in comparison to conventional laparoscopic surgery includes improved dexterity with increased degrees of freedom of movement, 3-dimensional image providing depth perception similar to that of open surgery, enhanced magnification, sitting position with increased surgeon’s comfort and decreased surgeon hand fatigue. Procedures that involve high precision and technical skill such as suturing appear to be the first areas of application of this technology. The benefit of robotic surgery is achieving clear tissue plains and hemostasis in the pelvis and retropubic space with the added ergonomic advantages. However, use of an additional trocar, larger trocar port incisions and their higher placement in the upper abdomen may esthetically be less acceptable for some patients.