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Minimal invasive surgery has been accepted by the colorectal surgical community. In most patients it makes it possible to reproduce the surgical dissection performed using an open approach. Advantages such as faster recovery, less pain, and fewer complications are evident. Complex colorectal procedures can also be performed by laparoscopic surgery after an adequate learning curve. The transanal approach combined with the transabdominal laparoscopic dissection (The Cecil Approach) enhances patients benefits in terms of quality of dissection and surgical time. Antonio M. Lacy, Maria Fernandez-Hevia and Raquel Bravo exhibited all the benefits of the Cecil Approach during a total proctocolectomy.