“… 44 Studies on how to identify individual failure patterns are lacking, although efforts are being made to understand specific failure sites. 45 In the era of personalized medicine, a quantitative framework identifying individual pelvic floor failure sites is necessary for informed decision-making regarding which surgery fits the individual needs of each patient. In the future, the development of surgical planning platforms based on biomechanical models may aid in predicting outcomes following different surgical treatment strategies, such as the decision about whether to correct an enlarged hiatus or a deepened levator bowl.…”