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Pelvic organ prolapse that cannot be improved using biofeedback therapy, Kegel exercises, pelvic floor physical therapy, or pessaries may require surgery. The type of surgery recommended depends on what organ is prolapsed and the degree of prolapse. Mild prolapse can often be repaired as a same-day surgery through the vagina, while more advanced prolapse may require a more complex reconstructive surgery. Surgery is usually not indicated for pelvic floor dysfunction that causes pain and not due to prolapse, as this is a functional and not an anatomic condition. If biofeedback and pelvic floor physical therapy does not improve pelvic floor dysfunction, then trigger point injections may be used to alleviate the pain and muscle tension.