Abstract: There are many surgical methods for rectal prolapse, and the choice of transanal or abdominal approach is controversial. There are many factors influencing the choice of surgical approach for rectal prolapse, including the subjective factors such as regional habits, Specialist′s experience and difficulty degree of surgery, as well as the objective conditions such as the degree of rectal prolapse, gender, age, basic conditions, anal function evaluation and patient acceptance. Transanal surgery is well tolerated but is usually associated with higher recurrence rates. The recurrence rate of transabdominal approach is relatively low, but the risk and operation duration have some requirements on the basic conditions of patients. Laparoscopic rectal prolapse repair can reduce hospitalization time, postoperative pain and incisional complications. Currently, minimally invasive and individualized treatment are advocated, in which doctors select the surgical approach and procedures that meet the needs of patients and doctors are good at based on the basic conditions and surgical indications of patients. Individualized treatment plan for patients is the development direction of clinical strategy for rectal prolapse.