Clinical experience during the past 12 years with the one-stage perineal operation for type III prolapse of the rectum has shown this surgical procedure to be definitive and curative in patients of all age groups. Since its original description in 1952,1 a total of 53 patients have been operated upon by this method on the Surgical Services of the Cincinnati General Hospital and the University of Cincinnati. The results obtained and the observations made in this series indicate that it has certain advantages making it worthy of serious consideration.2 In the past, many operations have been suggested, tried, but often abandoned. This has been indicative of the difficulties attending the management of rectal prolapse and the frequency of unsatisfactory results obtained after operation.2,3 More than 50 different operative procedures have been devised to cure rectal prolapse since the report of Moschcowitz in 1912.4,5 While it is