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The total mesorectal excision (TME) for rectal cancer involves high ligation of the inferior mesenteric artery (IMA) and complete removal of the rectum and mesorectal fascia without damage to the specimen. A well-executed TME has been proven to decrease local recurrence, operative blood loss, and perseveration of urologic and sexual function. Robotic surgery allows for improved visualization of the deep pelvis with instruments that allow for wristed movement and three-dimensional visualization. Here we review relevant anatomy, workup, and surgical technique for the robotic TME.