Evaluation of a modified technique of the six-corner bladder suspension performed to treat stress urinary incontinence associated with moderate degrees of cystoceles. Twenty-eight patients with a mean age of 43.4 years (range 30 to 56) with stress urinary incontinence (SUI) and cystoceles due to lateral defect were reviewed. Five patients had a cystocele grade I (18%), 18 patients had cystoceles grade II (64%), while 5 patients had cystoceles grade III (18%). No patients had cystoceles with grade IV. Anterior vaginal wall sling with suspension of the vesicopelvic and cardinal ligaments was done. The Stamey needle was used for suspension. At a mean follow up of 20 months, regarding SUI, the cure rate was 82 % (23 patients). The improved cases were 3 patients (11%). The total success rate (cured + improved) was 93%. The failure rate was only 7% (2 patients). While regarding cystocele repair, the cure rate was 93% (26 patients), and improved cases was 7% (2 patients). The total success rate was 100%. Three patients (10.7%) needed postoperative urethral catheterization for one week. From these 3 patients, only one patient (3.6%) continued for intermittent catheterization for another 1 month. The anterior vaginal wall sling with suspension of the vesicopelvic ligament and the cardinal ligament is a relatively simple operation. The complication rate is minimal. The success rate is very good especially if applied to the proper cases.