Women undergoing surgical treatment of stress urinary incontinence are seeking improvement in physical functioning and quality of life. In fact, an increase in physical activity levels has been shown in women after mid-urethral sling (MUS) surgery1. In our experience, patients are often eager to return to unrestricted activity as soon as they are cleared by their physicians. However, it is still standard of care in many centers to recommend several weeks of lifting and exercise restrictions after MUS surgery.