Laparoscopic surgery for colorectal cancer has evolved rapidly in the last 20 years since the first laparoscopic radical surgery for colon cancer was performed by American surgeon Jacobs in 1991. There is now a large body of high-level evidence-based medical evidence that laparoscopic surgery is practical and feasible in the treatment of colon cancer and can completely replace conventional open surgery in appropriate patients, and in rectal cancer surgery, although the level of evidence-based medical evidence is low, recent trends allow us to draw positive results without difficulty. In China, the peculiarities of a large population base and a high incidence rate have led to a large number of patients suffering from this disease. After years of disdainful efforts, surgeons in many regions of the country have become skilled in laparoscopic radical colorectal cancer surgery, which has benefited more and more patients, while more surgeons, especially primary surgeons, will start and intensify the application of laparoscopy for surgical treatment. While there are many sources of disease and great opportunities brought by the rapid development of technology, we also face daunting challenges, such as how to carry out standard treatment, how to individualize treatment with standard treatment, case selection for laparoscopic rectal cancer surgery, and how to carry out bulk high-level clinical studies. However, we firmly believe that with the unremitting efforts of our generations of surgeons, the prospect of laparoscopic treatment of colorectal cancer will become better and better, and will eventually become the standard surgical treatment for the vast majority of colorectal cancers.