The time is right for a textbook addressing transanal stapling techniques for anorectal prolapse. Both stapled haemorrhoidopexy and STARR have recently enjoyed widespread exposure and their application is spreading rapidly both through Europe and the USA. However, many areas of controversy remain and warrant comprehensive discussion. Current thinking on anorectal prolapse has evolved significantly in recent years and this needs to be updated in the literature. In addition, it is essential that the correct principles of transanal stapling are documented to aid training in techniques and to avoid unwanted complications. There is no other surgical textbook on the market that deals with this expanding area of Coloproctology.