This video illustrates the 3 key steps for a laparoscopic approach for rectal prolapse: complete rectal mobilization, sigmoid resection and rectopexy. The video demonstrates rectal mobilization to the level of the pelvic floor, with nerve preservation. Technical aspects such as vaginal retraction and control of middle hemorrhoidal artery bleeding are presented. Thereafter, the video illustrates sigmoid resection and handsewn anastomosis performed via a small periumbilical incision. Before the rectopexy is performed, important structures and surgical landmarks are shown. The rectopexy technique with the use of a surgical tacker is reviewed.