The chapter discusses about the urinary tract (UT) injury caused during urogynecological surgeries. It particularly aims to focus on their prevention and management. UT is closely related to the genital tract, it becomes indispensable for a gynecologist to have a thorough knowledge of the anatomy of the UT and the possible UT injury that could be encountered during gynecological surgery. Injury to the UT during vaginal hysterectomy (VH) most often involves the urinary bladder rather than the ureter. Majority of the ureteral injury are during vaginal vault closure where the ureter can get ligated or get kinked by displacement. Small bites of paracervical and parametrial tissue should be taken while clamping the uterosacral and the cardinal ligament. Double clamping of the uterosacral should be avoided. Adequate vesicovaginal space should be created. The right ureter is prone for injury when the presacral area is exposed to fix the mesh to the anterior longitudinal ligament on the right side. The ureter should thus be identified and retracted laterally. Placing the sutures into the deep dorsal aspect of the ligament is known to reduce ureteric injury. American Urological Association (AUA) recommends that intraoperative cystoscopy should always be performed, to help minimize the risk of UT injury. Other topics covered in the chapter are surgery for Mayer-Rokitansky-Kuster-Hauser syndrome, role of cystourethroscopy in identifying UT injury, role of preoperative ureteric stenting, intraoperative management of bladder and ureteric injuries, etc.