Laparoscopic abdominoperineal resection is a feasible and reasonable undertaking in skilled trained hands. Obviating the need for an abdominal incision has resulted in significant benefits in terms of patient recovery. Oncologic outcomes seem comparable to that achieved with open surgery and the authors would argue that the magnified dissection has many benefits. Laparoscopic abdominoperineal resection, as correctly prophesied by Heald in 1993, may become the first widely accepted laparoscopic procedure for cancer cure.