Introduction: Genital prolapse is a common problem with distressing symptoms with back pain, urinary and faecal incontinence etc. Surgery is considered as curative treatment. Identifications of complications associated with surgery enables us to anticipate and identify preventive methods and counsel these women appropriately Aims and Objectives: To evaluate immediate, early and within 1 year complications of surgery and health related quality of life. Materials and Methods: A Longitudinal study done from July 2018 to November 2019 in OBG Department at Adichunchanagiri Institute of Medical sciences, Bellur, Karnataka. Study included 98 women seeking cure for genital prolapse and its associated complications including their compromised quality of life. All 98 women underwent vaginal hysterectomy with pelvic floor repair. Result: In this study we found peak incidence of age of women seeking treatment is more than 50yrs. Duration of working hours in genital prolapse compared with control group it was found that working hours in prolapse patients is significantly reduced. 1 year after surgery it improved in comparison to preoperative condition. Immediate and early post–operative complications out of 98 women 2 had primary hemorrhage, 1 had wound infection. 3% had recurrence of cystocele, 1% with vault prolapse. At end of 1 year all were practicing routine activities as they did before surgery 28.5% patients felt left out by their family felt better accepted. 56.25% patients had problem with sexual activities improved it. 25% had psychological problems felt relived.100% felt no new symptoms after surgery? Conclusion: Genital prolapse compromises health related quality of life. Surgery provides significant symptomatic relief. Health related quality of life is significantly improved within 1 year of surgery.