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Laparoscopic colorectal resection is associated with reduction in 30-day postoperative morbidity without compromising long-term patient outcome. Minimally invasive approaches continue to be refined. Employing hybrid natural orifice techniques, we demonstrate laparoscopic anterior resection with transrectal specimen extraction and intracorporeal anastomosis. Potential benefits of this approach include reduction in postoperative wound infection rates, currently around 6%, as well as incisional hernia rates, which can be up to 10% in some series reporting on laparoscopic colorectal resections. A prospective study using this technique is required to make definitive recommendations.