Total Mesorectal Excision (TME) is a typical technique utilized in the therapy of colorectal malignant growth in which a huge length of the entrails around the tumor is taken out. Total Mesorectal Excision tends to prior therapy concerns in regards to sufficient nearby control of rectal malignancy when a foremost resection is performed. The term Total Mesorectal Excision stringently applies in the exhibition of a low front resection for tumors of the center and the lower rectum, wherein it is vital for eliminate the rectum alongside the mesorectum up to the level of the levators. The principle objective of Total Mesorectal Excision is to eliminate the rectal tumor with the pararectal lymph hubs, which are the main space of lymph seepage for tumor cells, and safeguarding of constructions outside the rectal fasciation, especially nerve filaments that supply the urinary bladder, prostate and vagina. Most of the mesorectal LN are found posteriorly with not many on each side. There is moderately scarcely any LN in the mesorectum of the lower rectum