High uterosacral ligament suspension is a well-accepted method to treat apical prolapse. It has been initially described during vaginal approach of apical defects during POP repair surgery, and later on during laparoscopy. Vaginal approach is associated with a higher risk of ureteral injury than the laparoscopic approach. When uterine prolapse coexists with uterine pathology, such as symptomatic myomas, and hysterectomy is mandatory due to uterine pathology, it is important to perform an apical compartment repair at the time of surgery. Robotic assistance, with 3-dimension vision and 6 degrees of freedom of robotic arms, is very useful to perform this procedure safely. This case report and didactic video describes and illustrates this procedure.