Short term outcomes of taTME are comparable to those of laTME 27, 28, 29, 30, 31, 32, 33, 34.Notably, a recent randomized trial demonstrated a significant lower conversion rate in taTME, with 20% conversion in the laTME group versus 2% in the taTME group [35]. TaTME is also associated with an increased rate of sphincter-preservation. Hol & colleagues found that centers utilizing taTME had an 84.3% sphincter-preservation rate compared to 66.7% in other centers [36]. The procedural safety of