With an increasingly aging population, surgical repair of pelvic organ prolapse (POP) has become one of the most common types of inpatient procedures performed in women. While the abdominal sacrocolpopexy has been suggested to be one of the preferred procedures for correcting defects of the vaginal vault, minimally invasive routes of this and other gynecologic procedures are becoming more popular as technological advances are adopted, and this has become a favorable technique for prolapse repair in many instances. With laparoscopic and robotic surgery, there is a unique set of perioperative considerations to be aware of and potential complications to understand and attempt to prevent wherever possible. In this chapter, we will discuss the potential perioperative complications unique to minimally invasive female pelvic surgery and outline ways to decrease the incidence of these complexities and tackle them when necessary.