Cervical descent is a major etiology of uterine prolapse. However, true elongation of cervix can cause uterine prolapse without its descent. Most patients find it difficult to come for follow-up visits to hospitals during the ongoing COVID surge. So, they prefer definitive surgeries. Moreover, young patients with prolapse want fertility preservation and subsequent pregnancies. So, we hereby report a case of Manchester operation being performed in a female with cervical elongation who was keen on uterus preservation, thereby analyzing the advantages of this procedure over conventional restorative surgeries for pelvic organ prolapse.