Women in resource poor settings have more decreased quality of life due to UV prolapse than their counterparts in developing world. Grandmultiparity, prolonged labor, poor literacy levels and poverty are implicated. The commonest modality of treatment in poor settings is cost prohibitive Surgery, due to late presentation and associated complications. In the developed world, conservative management using pessaries is the first line of management. This study aims at understanding preferences and cost effectiveness for decision making with respect to a more affordable KHS body strap device. This device is compared to use of pessaries and surgical intervention in relation to cost and uptake in the management of UV prolapse. The results of this study therefore is useful in informing new intervention modalities for women living with UV prolapse in Nigeria.