ABSTRACT
Having moved into the new millennium, accompanied by many new advances in the field of urogynecology and reconstructive pelvic surgery, it is appropriate to take time to reflect on the events of the last century and to make suggestions for future directions. With the significant increase in our postmenopausal female population, there is a growing demand for improved quality of life and management of pelvic floor dysfunction. no longer do we contemplate whether women will grow older but, rather, how they will grow older. The life expectancy for women has almost doubled through the twentieth century. In 1923, Professor sir Arthur Keith, in his Hunterian lecture on "Man's Posture: Its evolution and Disorders" [1], stated:
