It is difficult to achieve curative effect by surgical treatment for advanced rectal cancer, and comprehensive treatment is the mainstay. However, when combined with some emergencies, palliative surgery can be considered to alleviate the corresponding symptoms and improve the survival quality of patients. In advanced stage of rectal cancer, acute complications such as difficulty in defecation, acute intestinal obstruction and persistent intestinal bleeding can be easily combined, which will be very painful if not handled in time, and the condition will probably deteriorate in a short time and even lead to the death of the patient, so palliative surgeries can be taken to alleviate the symptoms and improve the quality of life, for example, palliative resection of the tumor, intestinal ostomy, placement of stent, etc. If patients do not have acute complications, surgery is generally not recommended, and comprehensive treatment, including chemotherapy, radiotherapy, targeted therapy, symptomatic treatment, etc., is the main treatment. Patients with advanced rectal cancer are recommended to visit hospitals as early as possible and consult professional doctors with their conditions in order to make scientific and reasonable treatment plans to improve their quality of life and prolong their survival period as much as possible.