A 30-degree 5 mm camera (C-port) is placed halfway between the xyphoid pro­cess and the symphysis pubis and an initial 4-quadrant survey is done to confirm the absence of any injuries from initial abdominal entry and to rule out any metastases of the patient’s rectal cancer to other organs. Three robotic ports (R) are placed in total: R1 is a 12 mm trocar that is inserted in the midclavicular line halfway between C and the right anterior superior iliac spine, R2 is an 8 mm trocar inserted in the LLQ about 8–10 cm directly lateral to C, and R3 is an 8 mm trocar inserted 8–10 cm lateral to R2 usually directly above the left anterior superior iliac spine. Two addi­tional laparoscopic ports are placed: L1 is a 5 mm trocar placed in the midclavicular line approximately 10 cm superior to R1 and L2 is a 5 mm port placed halfway between the midclavicular line and the midline approximately 10 cm superior to L1 (Fig. 7.1). All ports are placed under direct vision and in a controlled fashion by the surgeon’s dominant hand. The patient is then placed in steep Trendelenburg position with the left side of the body tilted upward to maximize exposure of the left colon and remove the small bowel from the pelvis.