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1 [95% CI 2.5-3.8,P .001]), 30-day complications (aRR 2.8 [95% CI 2.2-3.6, P .001]), and 30-day UTI (aRR 2.5 [95% CI 2.2-3.0, P .001]). Among Medicare beneficiaries undergoing POP surgery in the United States, frailty is strongly associated with increased risk of prolonged hospital stay and 30-day complications. Frailty should be considered in the preoperative assessment for POP surgeries to improve patient outcomes. Among Medicare beneficiaries undergoing POP surgery in the United States, frailty is strongly associated with