In-depth guide

UPDATED FEB 2026

Part of the Transvaginal Mesh investigation

The short answer

Johnson & Johnson's Ethicon division paid over $775 million to resolve pelvic mesh claims involving its Gynecare TVT, Prolift, and Prosima devices. Ethicon cases command among the highest individual settlement values in the litigation.

SUI mesh cases (TVT/Obtryx) remain active in MDL 2327.

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Ethicon, a Johnson & Johnson subsidiary, manufactured the most widely implanted transvaginal mesh products in the United States. Its Gynecare TVT (mid-urethral sling for SUI), Prolift (POP repair system), and Prosima devices were marketed aggressively to gynecologists and urogynecologists despite known risks of erosion, contraction, and organ perforation. Internal company documents revealed in litigation showed Ethicon knew of complication rates but continued marketing the devices without adequate warnings.

MDL 2327, the Ethicon mesh MDL before Judge Goodwin in West Virginia, became the largest single mesh MDL with over 48,000 cases at its peak. Bellwether trials produced verdicts ranging from $1.75 million to $80 million. The eventual global settlement exceeded $775 million for POP mesh claims. SUI mesh litigation under MDL 2327 continues with ongoing remands to home districts for trial.

If you were implanted with any Ethicon mesh product — including Gynecare TVT, TVT-O, TVT Secur, Abbrevo, Prolift, Prolift+M, or Prosima — and experienced complications, you may still have an active claim. Contact People's Justice for a free, confidential case evaluation.

The full investigation

Part of the Transvaginal Mesh Investigation