Abstract: With the standardized training and spreading,laparoscopic total mesorectal excision for rectal cancer has been spread nationwide. The oncological adequacy and long-term outcomes have also been confirmed by series of randomized controlled trials such as COLOR Ⅱ in Europe. There were still some technical issues, such as safe surgical plane, surgical approach, lymph node dissection, and functionpreserving, which were still under debate. In the current article, authors will discuss the issues with clinical experiences about preserving of Denonvilliers facial, preserving of pelvic autonomic nerve, strategy of surgical approach, dissection of lateral lymph nodes, and necessity of protective diverting stoma.