Recently, our anorectal surgery department successfully performed laparoscopic radical rectal cancer surgery for an elderly and high-risk patient using minimally invasive technology, and the patient is now recovering well. The patient, male, 80 years old, was found to have rectal cancer for more than half a year. Due to the patient’s advanced age, he also had coronary heart disease, bronchiectasis, chronic bronchitis and other cardiopulmonary diseases, and the doctor considered that the patient had more underlying diseases and poor tolerance to anesthesia and surgery before surgery. The patient and his family have been hesitating between “to do or not to do” surgery and could not make up their mind. In the past 2 months, the patient has been admitted to the second department of high stem, the department of anorectal surgery and the department of cardiology of our hospital several times and repeatedly. When the patient and her family heard that laparoscopy is less invasive and faster recovery, they requested the Department of Anal and Intestinal Surgery to perform radical surgery for rectal cancer via laparoscopy. Based on their own advantages and experience in using laparoscopic technology in recent years, all medical staff of the Department of Anal and Intestinal Surgery, under the leadership of the head of the discipline, Director Wang Liyong, discussed the cases of difficult and high-risk patients by the whole department, and with the full cooperation of the Department of Anesthesiology, performed minimally invasive laparoscopic surgery for the patient under general anesthesia on June 19, 2013, and the surgery was successful. The patient is now recovering well and has been discharged from the hospital.