Several operations have been proposed to correct complete rectal prola
pse (1, 2, 3, 4). Perineal approaches in patients with rectal prolapse
are recognized as less strenuous on the general health of the patient
than abdominal methods of repair. This has led to the use of perineal
procedures for elderly and debilitated patients. In our text we descr
ibe a perineal repair with a silastic sling. In general this technique
is designed to treat the prolapse by narrowing of the anal outlet and
suspension of the rectum.