Abstract: A method for performing trans-anal resection is achieved by applying a first stitch about the rectum, wherein deep bites of the first stitch capture and fold a rectum wall, creating a longitudinal staple line in the rectal wall at a position adjacent the first stitch, positioning a curved surgical stapler instrument in the rectum for capturing the rectal wall held by the first stitch, firing the surgical stapler instrument creating a circumferential first staple line approximately along the arc defined by the first stitch, and repeating the procedure about the circumference of the rectum until a predetermined portion of the rectum is fully resected.