The existing literature cites many examples of quality improvement initiatives and studies focused on improving the surgical consent process, patients' understanding and satisfaction. Several systematic reviews include prospective and randomized controlled trials using various patient counseling interventions including videos, computer programs, electronic presentation, websites, powerpoint, and written information have found improved patient comprehension and knowledge but did not consistently affect satisfaction (Farrell et al. Patient Education and Counseling. 2012;94:20-32. Nehme et al. Surg Innov. 2013;20(1):13-23. Schenker et al. Med Decis Making. 2011;31:151-173.). Most trials reported outcomes including overall satisfaction, knowledge score, perceived understanding (Hoppe et al. J Shoulder Elbow Surg. 2014;23:e134-e139. Johannes et al. Ann Surg Oncol. 2013;20:15-23. Bollschweiler et al. Ann Surg. 2008;258:205-211.). However, there has not been any such prospective randomized controlled trial for improving the consent process using media aid for urogynecological procedures. A related prospective study reported patients' understanding of sacrocolpopexy without any intervention and found deficiencies with mean knowledge score of less than 70 out of 100 (Adams et al. Female Pelvic Med Reconstr Surg. 2012;18(6):352-356.).