In recent years, a series of randomized controlled trials have demonstrated the ability of laparoscopic surgery to cure colorectal cancer (1–4). Concomitant with this, there have been major developments in the use of laparoscopic low anterior resection (LLAR) for low rectal tumors. Despite these advancements, some major concerns remain when performing LLAR: fulfilling patients' desire to preserve the continuity of digestive tract after the operation, and the ability to determine intraoperatively the distal margin for bowel transection and to ensure a sufficient tumor. To resolve these issues, we have adopted a transanal prolapsing technique, or so-called everting technique, in selected patients. Previously, Dai et al. reported treating 43 patients by employing laparotomy with the prolapsing technique for ultra-low rectal cancer to preserve the anus (5,6). To the best of our knowledge, there have been very few reports on the application of transanal prolapsing technique in laparoscopic procedures and postoperative anal function. Thus, our experiences are shared as follows.