Constipation is a common clinical symptom of digestive tract. With the change of diet structure and the improvement of living standard, the incidence rate of constipation is significantly improved. However, for slow-transit constipation(STC), which is ineffective in conservative treatment, surgery is an important treatment. For benign diseases such as constipation, it is particularly important to find a safe and effective minimally invasive surgery. This operation is a case of the fourth generation Da Vinci robotic single-incision plus one port laparoscopic total colectomy with fascia space priority approach in the treatment of slow-transit constipation, and discussed the feasibility, advantages, disadvantages and individualization of this operation.