Our workshop is aimed at colorectal surgeons experienced in laparoscopic and/or robotic rectal surgery, and ideally also experienced with transanal surgery, especially TEM and TAMIS. This 2-day course will focus on the rationale for TaTME and appropriate patient selection. It will cover all practical aspects required to set up a safe and effective service. In-depth didactic lectures, explanatory videos and hands-on on training in human cadavers will be provided by expert national and international faculty. We aim to run the course for 8 delegates, and would strongly encourage surgeons to sign up in teams for the course. We will also run a series of lectures specifically for the theatre staff and they will also be able to join in for the practical sessions.