Injection of the sacrospinous ligament will be performed prior to tying down the suspension sutures according to the group the patient is randomized to. A pudendal nerve block kit needle and syringe will be used to administer the injection. The spacer will be removed, allowing the needle point to enter the ligament 10mm in depth with each injection. The injection will be placed in 3 locations (~3mL in each injection for a total of 10mL) along the center of the sacropinous ligament under each previously placed suture. Proper injection technique will be performed with each injection (e.g. there will be confirmation of extravascular placement of the needle tip prior to each injection). One of two injections (bupivacaine vs. normal saline) delivered by the pharmacy will be administered depending upon the group to which the patient has been randomized.