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Mesh rectopexy is a frequently performed surgery for the treatment of rectal prolapse. Mesh rectopexy may be complicated by mesh infection, mesh erosion/migration into bowel wall, and extrusion of mesh. Erosion of the mesh into the rectum is very rare. Delayed erosion of mesh into rectosigmoid can present after many years of mesh rectopexy and poses diagnostic dilemma. We report a case of delayed mesh erosion into the rectum diagnosed during sigmoidoscopy.