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Robotic-assisted rectal dissection for cancer has been well-described, but experience in patients with inflammatory bowel disease is lacking. The inflamed, friable tissue of the ulcerative colitis patient adds an element of complexity to the rectal dissection during a restorative proctectomy. Robotic assistance can aid in visualization and maneuvering within the limited space of a narrow pelvis. At our institution, we use the robot to safely perform the complete circumferential rectal dissection in patients with inflammatory bowel disease. We depict a robotic-assisted rectal dissection during a restorative proctectomy in a thirty-one year old female patient with ulcerative colitis.