Many rectal cancers, rectosigmoid junction cancers, and sigmoid colon cancers will have frequent bowel movements (sound shuo) after surgery. Most Western surgical specialists will tell patients to endure for a period of time and their symptoms will gradually decrease, but the reality is that many patients endure for 1, 2, 3 or even more years without substantial improvement in their symptoms. This is not what I am going to talk about here, what I am going to say is that for this group of patients who had a high number of stools per day after surgery, a sudden change in stool character and/or frequency is not a good thing, it is mostly a very bad situation – and as a patient, it is important to be vigilant enough about this. Frequent stools are the norm after distal bowel cancer surgery, and most patients will have this symptom for years. If the stool becomes “normal” or constipated during the process, you need to be highly alert for tumor recurrence causing bowel obstruction. In this regard, both patients and clinicians should have certain knowledge and sufficient vigilance.