Obturator nerve injury is a recognised potential complication of paravaginal repair (Scotti et al., Am J Obstet Gynecol 179:1436, 1998). Non-absorbable sutures are utilised for a paravaginal repair in order to provide permanent support, and they can induce a fibrotic reaction, thereby contributing to the integrity of the repair. We present a case in which we hypothesise that the fibrotic reaction induced resulted in the tethering of the obturator nerve. This was released laparoscopically with immediate resolution of symptoms.