Recently, we performed a laparoscopic anal preservation surgery for a female patient from a rural area with ultra-low rectal cancer. The patient’s tumor was only 4 cm from the anus, and the patient was adamant about preserving the anus. In the past, if the patient underwent traditional open surgery, she would have to make a 20 cm long incision on her stomach, which not only slowed her recovery but also seriously affected her appearance. Under the leadership of Director Zhang Nengwei, we carefully designed and performed a laparoscopic radical rectal cancer surgery for the patient. During the operation, only four 0.5-1.0cm poke holes were pierced in the patient’s stomach, and the patient’s tumor was separated using laparoscopy, and the tumor was dragged out of the anus for removal, and the descending colon was also dragged out of the anus for anastomosis with the lower rectum, and the operation went very smoothly with only 20ml of bleeding. Seeing that only four small pieces of gauze were stuck on the stomach of the patient who was launched into the operating room, the patient’s family stared in amazement: “It’s amazing, another patient in our village, with the same disease, had a wound on his stomach more than half a foot long, and it was also infected and took more than 20 days to grow well.” In the exchange with the patient’s family, we learned that in rural areas, patients with rectal cancer, if they undergo surgery to remove the anus and create a fistula on the stomach, the psychological pressure is particularly high, and others will think she is a weirdo and smells on her body, which is why she is particularly eager to undergo anal preservation surgery. Of course, it depends on the condition whether the anus can be preserved or not, and it can’t be forced if it can’t be preserved. And, because there is no incision, the trauma is minimal, the patient went down to the floor that night, and soon intestinal peristalsis was restored, and enteral nutrition was started, reducing the amount of fluids (saving a large amount of money), and gradually the transition to a normal diet was possible. Truly minimally invasive —– That’s the magic of laparoscopic surgery!