What do you suggest if my doctor suggests a vaginal mesh implant for my urinary incontinence, is it safe?

Safe + options: Yes, a midurethral sling is safe with a complication rate less than 5-8%. The current surgical options for treatment of stress urinary incontinence (leakage of urine with cough, sneeze, lifting, laughing, etc) include: midurethral slings (best ones are ones placed behind the pubic bone), and the Burch procedure (suspending the vaginal wall to the back of the pubic bone).

A urethral sling: is a thin strip of mesh that is used to support only the urethra. This particular use of mesh has been very thoroughly studied and has a low (NOT zero) risk of serious complications and a high (85-90% in most cases) success rate. If your surgeon is experienced with these devices and you have been properly evaluated, it is a reasonable recommendation. I hope this helps