Long-term complications include, but are not limited to, stress urinary incontinence, recurrent urinary tract infections, sepsis, and vesicovaginal fistulas.14 Vaginal fistulas are frequently due to nonplacement of a Foley catheter during the procedure.3 This important step should never be omitted. The effect of a symphysiotomy on subsequent pregnancies has not been studied in detail. However, the limited data available suggest that a symphysiotomy permanently enlarges the pelvis so that subsequent vaginal deliveries are in fact easier.13