At WALS 2025, Dr. Rakesh Durkhure presented an insightful lecture titled “Silence to Suspension,” where he addressed the longstanding issue of stress urinary incontinence (SUI) that too many patients have suffered in silence. Dr. Durkhure emphasized that societal stigma and lack of awareness often lead patients to underreport their symptoms, delaying treatment and diminishing quality of life. He detailed how modern suspension techniques, particularly minimally invasive mid-urethral sling procedures, have revolutionized the approach to SUI by offering effective symptom relief and improved patient outcomes. The talk covered critical aspects such as careful patient selection, comprehensive preoperative evaluation, and refined intraoperative techniques that minimize complications while maximizing long-term success.