Background:Urinary incontinence and pelvic organ prolapse are common clinical conditions that affect various females globally including in India. Various surgical procedures are available to correct these disorders based on surgical expertise and clinical presentation. Presently, there is no gold standard procedure for treating uterine prolapse. Aim: The present study aimed to assess the clinical presentation, surgical options, and management outcomes in subjects with pelvic organ prolapse. Methods: The present study assessed all the females undergoing surgical management of urinary incontinence and pelvic organ prolapse at the Institute. Each study participant's clinical presentation and type of surgical management were noted. The outcome of the surgical management and follow-up was recorded concerning symptoms recurrence, patient satisfaction, complications, and quality of life. The data gathered were analyzed statistically. Results: The study included 816 subjects with pelvic organ prolapse. 2/3rd of subjects worked in hard manual work and strenuous activities as laborers and farmers with 38% and 34.8% subjects respectively. 66.9% (n=546) subjects were in the post-menopause phase and 77.2% (n=630) subjects were multiparous and had few causes leading to a chronic increase in intra-abdominal pressure.The major presenting complaint was mass protruding from the vagina in 80.6% (n=658) of subjects. The major prolapse type was uterine prolapse in 93.4% (n=762) of subjects. Enterocele, rectocele, and cystocele were seen in 10.1% (n=84), 57.6% (n=470), and 73% (n=596) subjects respectively. The main surgical management done was vaginal hysterectomy with pelvic floor repair in 73.5% of subjects. Conclusions: The present study concludes that pelvic organ prolapse is linked with various risk factors where few factors are modifiable. Despite many types of surgical options available, vaginal hysterectomy with pelvic floor repair is the most common surgery done for pelvic organ prolapse and results in satisfactory outcomes.