The insertion of a tension-free vaginal tape (TVT) under the urethra has become the golden standard in the treatment of stress urinary incontinence in women. Stress urinary incontinence represents serious medical and social problem. Surgical treatment of urethra hypermobility or hypotonia has become the optimal treatment option. Mini-invasive vaginal surgical approach is the most effective. This video shows vaginal urethropexis with tension free vaginal tape inserted to obturatory fossa by "inside-out" technique.