Surgical treatments for anterior rectal protrusion include transrectal repair and transrectal closure repair, sphincteroplasty, and rectal suspension fixation. The patient’s condition will determine the appropriate treatment for the patient. Symptoms of anterior rectal protrusion are mainly manifested as difficulty in defecation. When the patient presses hard to defecate, the fecal matter will enter into the anterior rectal protrusion under greater pressure. When the force is lighter, the fecal matter will return to the rectum, resulting in repetitive and difficult bowel movements. 1. Transrectal repair and transrectal closure repair: The main surgical treatments are transrectal repair and transrectal closure repair. There are transrectal, transvaginal, transperineal and transabdominal approaches to repair and reinforce the rectovaginal septum. However, surgical operation is more complicated, intraoperative damage to adjacent tissues, prone to postoperative infection, bleeding, and even rectovaginal fistula and other complications. 2. Sphincteroplasty: perineal rupture caused by the location of rectal protrusion and the mechanical structure of the anal sphincter can be repaired by sphincteroplasty, transvaginal repair of high rectal protrusion, better observation of the proximal vagina, transabdominal approach is also occasionally used for vaginal vault prolapse and posterior hernia, in the repair of rectal protrusion at the same time, pay attention to the management of complications, so as to make the operation more accurate. 3. Rectal suspension fixation: transabdominal surgery is mainly rectal suspension fixation, which can be performed laparoscopically. In order to detect anterior rectal protrusion disease in time, it is recommended to do regular checkups. After discovery, early and regular treatment.