Radical resection of the rectum is a widely practised treatment for rectal carcinoma whether for cure or palliation. However, this approach is attended by a significant postoperative mortality and morbidity, with a five‐year survival rate rarely exceeding 50%. The same experience has been found at the Prince Henry and Prince of Wales Hospitals, which are major teaching hospitals of the University of New South Wales. Lesser procedures than radical resection are therefore suggested as an alternative treatment in selected cases of rectal carcinoma.