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Rectal cancer surgery has had a tremendous evolution over the last few years. Since the landmark set by Dr Bill Heald with Total Mesorectal Excision, later advances have turned open proctectomies and abdominoperineal resections into transanal minimally invasive approaches with sphincter-saving procedures. Our 15th AIS Live Congress (April 12, 2017) showcased and discussed the current status of Transanal Total Mesorectal Excision (TaTME). Our global audience across the entire world were able to watch presentations by world-leading experts followed by live TaTME surgery.