The Manchester-Fothergill operation (MF) has largely been replaced by Vaginal Hysterectomy (VH) however the MF procedure may permit to preserve the fertility in many cases of genital prolapse. Objective: To obtain pregnancies after MF procedure. Materials and Method: Four women submitted to MF desiring pregnancy. Results: Every patient became pregnant with deliveries near term. Conclusion: The MF operation should be taken into account in fertile women even in view of the fact that the long-term outcome is similar to VH.