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Patients with Ulcerative Colitis and lack of response to medical treatments require surgical intervention. This is usually performed in three stages (Total Colectomy, Proctectomy plus J Pouch, and finally bowel transit restorance) and can be fully performed by minimally invasive surgery. Technological improvements and current experience in TaTME make it possible to extend the indications of the transanal approach to the IBD field. Antonio M. Lacy and Dulce Momblan from Hospital Clinic Barcelona, demonstrated the advantages of the Cecil Approach to perform a Proctectomy in a case of Ulcerative Colitis.