Uterovaginal prolapse is traditionally treated by vaginal hysterectomy and pelvic floor repair. More recently, women are requesting conservation of the uterus for various reasons including preservation of fertility. This paper documents the case of a 31-year-old woman with second degree uterovaginal prolapse who wished to retain her fertility and therefore underwent a laparoscopic sacrohysteropexy with no complications. She subsequently conceived spontaneously and underwent a normal pregnancy culminating in the delivery of a live term infant by elective Caesarean section. The uterus remained well-supported at 1 year post-delivery. This case adds to the growing body of literature which supports definitive surgical management of uterovaginal prolapse in young women who wish to retain their fertility.