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Incontinence is a major clinical issue in women’s health and well-being. Various interventions have been developed to address this issue; however, these carry a risk of significant potential complications. In recent years, the safety profile of mesh surgery in particular has been a focus of renewed debate. In this report, a case of complex urogynaecological management of stress urinary incontinence is discussed in detail, with a particular emphasis on an understanding of different treatment options and practical learning points.