In cases of recurrent stress urinary incontinence after failed anti-incontinence surgery, it is common for the bladder neck and anterior urethra to be fixed to the symphysis pubis, increasing the risk of inadvertent bladder perforation during reoperation. We describe a modification to the popular pubovaginal sling using a 15 degrees angled Stamey suspension needle for retropubic sling passage for the previously operated patient undergoing pubovaginal sling.