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© Thieme Medical Publishers.A dynamic evolution is occurring in transanal surgery. Transanal techniques began with intraluminal surgery of rectal public and have now progressed to transanal total mesorectal excision (taTME) for rectal cancer. TaTME was initially performed last year by Sylla, Rattner, Delgado, and Lacy. This article documents the education path accompanied by pioneers when you look at the taTME strategy too as consensus reports outlining the process of learning the taTME