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Treatment for bowel (rectal) cancer

Surgery for rectal cancer

Most people with rectal cancer have surgery.

This section is about surgery for cancer that starts in the back passage (rectal cancer). The type of surgery you have depends on the position and the size of the cancer in the rectum.  

Find out about surgery for large bowel (colon) cancer

Types of surgery for rectal cancer

The type of surgery you have for cancer of the back passage (rectum) depends on the position and the size of your cancer.

Before your operation for rectal cancer

Before your operation for rectal cancer you will have some tests to check you are fit for surgery. You sign a consent form and meet members of the healthcare team who will be looking after you.

On the day of your rectal cancer surgery

On the day of your operation, you need to do things including stopping eating for a few hours.

After surgery for rectal cancer

After a big operation, you might wake up in the intensive care unit (ICU) or high dependency unit (HDU). You are likely to have a drip into your arm to give you fluids until you are eating and drinking again.

Problems after surgery for rectal cancer

There is a risk of problems or complications after any operation including infection, blood clots, bleeding or a leak where the bowel is joined. You might have problems with your sex life after surgery. Support is available.

Having a colostomy for rectal cancer

A colostomy is an operation to create an opening (stoma) of the large bowel (colon) onto the surface of the tummy (abdomen).

Last reviewed: 27 Feb 2025

Next review due: 27 Feb 2028

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