A single-surgeon approach has some advantages com­pared to a dual-surgeon team. Patient positioning can be optimized for the surgeon in both the abdominal and peri­neal portions of the procedure. During the laparoscopic abdominal dissection, steep Trendelenburg and right lat­eral decubitus positions facilitate visualization of the deep aspects of the pelvis and gravitational distraction of the small bowel out of the operative eld. However, in the perineal portion of the dissection, moderate Trendelenburg with a level horizon is ideal to maintain true anterior and posterior landmarks, while dissection proceeds cephalad. When the single-surgeon team starts from the abdominal eld, the colon remains decompressed, whereas an inad­equate distal purse string in the perineal eld allows colonic dilation and thereby limits abdominal visualiza­tion in the case of a dual-surgeon approach [20]. Additionally, during the perineal dissection, it can be essential to have the benet of full pneumopelvis without competition from abdominal insufation, the latter of which can collapse the pelvis and limit working space. This can be particularly important in a narrow male pel­vis, with a bulky mesorectum in an obese patient, or in the presence of a heavy, bulky tumor.