Gastro intestinal cancer incidence is on the rise in our country. Colorectal cancer is among the common cancers of GI tract. Rectum is the lowermost portion of the large intestine and it is connected to anus. Cancer in this part of the colon can cause bleeding in stools, change in the stool habits, patient may have constipation and loose stools alternatively. Patients may present to doctors with obstruction. Cancer can spread to other parts commonest being the liver followed by the lung. Recently we have noticed that colorectal malignancy is occurring in the younger population. When cancer happens in the younger population, most of the time it is diagnosed in the later stages and cancer is more aggressive in younger age groups. These special features make the prognosis of cancer in the younger population worse than usual. Lot of development has happened in the last decade in the field of diagnosis and the management of rectal cancer. Today we can diagnose rectal cancer accurately with the help of MRI. Treatment of rectal cancer is largely multi-modality where a combination of radiation and newer chemotherapy agents are given in advanced stages and then surgery is done. If cancer is diagnosed in early stages then direct surgery is required. In today’s era we have moved to minimal invasive surgical techniques with the help of Laparoscopic and robotic surgery as compared to conventional surgery in the past, robotic surgery has really revolutionised the surgical procedure in colorectal cancer. We are able to safeguard nerves in a much better way. As far as chemotherapy is concerned, there are newer medicines which are called targeted therapy. We are able to estimate with the help of next-generation sequencing about which chemotherapy will be more beneficial for a particular person. This has really helped us to tailor made the treatment for a particular individual. This is known as personalised cancer treatment Two and half day rectal cancer update was organised by rectal cancer treatment, outcome group to deliberate, brainstorm and teach about various modalities, personalise treatment and robotic surgery. Various leaders from all over the country and abroad participated in the proceedings.