The claimant was 35 years old at the time of referral for stress urinary incontinence and the index surgery (in 1999). She had previously undergone a hysterectomy five years prior to the index event. Urodynamic studies confirmed mixed urinary incontinence and conservative treatment in the form of pelvic floor muscle training had failed to alleviate her symptoms. The patient was overweight with a BMI of 34. She was offered an open colposuspension which she agreed to. This case predates the synthetic midurethral slings when colposuspension was the standard surgical procedure offered for stress urinary incontinence. At the time of surgery, she suffered serious blood loss requiring embolisation of the internal iliac artery.