The various definitions of anterior and low anterior resection are outlined. The operative technique for performance of both and their perioperative management are described. Operative mortality in 157 patients operated on from 1973 to March 31, 1982, was 4.5% (7 of 157 patients) and had decreased to 1.9% (2 of 107 patients) within the last 5 years. The rate of anastomotic leakage also decreased concomitantly. Five‐year survival rates are similar to those reported in the literature; there was no difference between anterior and low anterior resection for tumors of Dukes' stage A‐C.