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Non-frail patients were more often surgically treated than frail patients. No differences were found in the incidence of postoperative complications. Our study shows a high prevalence of frailty in elderly women with symptoms of PFD. Further research is required to investigate whether these frail patients face an increased risk of complications and poor clinical outcomes after treatment for PFD. Our study shows a high prevalence of frailty in elderly women with symptoms of PFD. Further research is required to investigate whether these fr