The study analyzed the learning of surgeons in transvaginal pelvic reconstructive surgery with four-wing mesh (T4), which is a more modern alternative to traditional surgery with a lower rate of recurrence of the problem and a better quality of life for patients. The research involved 84 pelvic organ prolapse patients operated on between January 2019 and April 2023, tracking operative times and other data at various learning stages. The learning curve was divided into three phases: the first phase (the first 20 cases) with an average operating time of 65.85 minutes, the second phase (the next 49 cases) with a time of 44.33 minutes, and the third phase (the remaining cases) with a time of 35.07 minutes. All operations were successfully completed without the need for conversion to another surgical approach, with a total mean operative time of 47.80 minutes. The results indicate that surgical skill is achieved after approximately 20 cases and further experience leads to improved surgical efficiency. However, the authors emphasize that these findings should be interpreted with caution and further comparative studies are needed to confirm the clinical benefits of this technique.