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Postoperative cognitive dysfunction (POCD), a transient impairment of memory, concentration, and information processing, has been reported after 7-26% of non-cardiac surgeries with associated increase in morbidity and death. Our primary aim was to determine the incidence of POCD 2 weeks after prolapse surgery in women ≥ 60years old. Our secondary aim was to identify risk factors for POCD. Prospective cohort study of women ≥ 60years old scheduled for pelvic organ prolapse surgery. Exclusion criteria included cognitive impairment history