Background: Although uterovaginal prolapse surgery benefits physical health and social reintegration, some women experience negative outcomes, including limitations in physical activities and relational, psychological, and emotional health. These issues affect the quality of their lives, particularly if their personal concerns are neglected by healthcare providers and if they lack counseling about postoperative lived experience expectations. But little is known about the experiences of women in the study district. Therefore, this study aimed at exploring the lived experience of women after uterovaginal prolapse surgery, which helps in physical health and psycho-social reintegration interventions.

Methods: An interpretive phenomenological qualitative study was conducted between November and December 2025 in the Gumer district, Central Ethiopia. Eleven participants were purposefully selected from their register (at the Gumer district health office), and in-depth interviews were conducted individually at participants' compounds in a quiet place using a semi-structured interview guide. Audio recordings and field notes were also used. Then the interviews were first transcribed and coded, and categories and themes were generated by applying thematic analysis.

Findings: Five major themes with their many subthemes were identified: physical, psychological, relationships, sexual life, and general health perception changes.

Conclusion: Post-uterovaginal prolapse surgery, women experience many issues that negatively impact the quality of life, which emanate from their personal perception and emotion, relationships (husbands and others), and physical or physiological changes. Thus, it is essential to counsel women about common expected issues and follow-up mechanisms post-surgery. Furthermore, multi-perspective research involving husbands, families, and health professionals is essential to having the general view of their experiences, and developing culturally sensitive and inclusive programs for patients, families, and health systems is essential to address them.