During the Laparoscopic Burch colposuspension, the surgeon places, on each side, two non-absorbable sutures partially through the segment of the vagina located under the junction where the bladder joins the urethra, called the bladder neck. Colposuspension refers to the suspension of the vagina "colpo."  Dr. Burch was the first to describe the procedure, so it's named after him as Burch Suspension.  The two sutures on each side are then attached to Cooper's ligament. a thick, strong connective tissue located along the top brim of the pelvic bone.  If you think of the hammock illustration, this is putting new ropes on the vaginal hammock and tying them to the support the pelvic brim.

This procedure is describe in the presentation above and has traditionally been performed using an open abdominal incision to access the surgical area. Laparoscopic approach, has many advantages for the patient compared to traditional "open" surgery.