Laparoscopic recessive Miles operation was performed, firstly in the improved right lateral position, the rectal tumor and surrounding tissue were dissociated on perineal region. Secondly patient was put in horizontal position, common radical resection of rectal cancer was performed under laparoscopy, and same time the permanently colostomy was done. This kind operation had the manipulate advantage both in the perineal and abdominal region. It was refined and convenient to perform the operation, and to reduce wound infection rate after operation.