We aim to educate experienced colorectal surgeons who are willing to perform this technique in their practice. Therefore we offer proctorships in addition to the course to guide the surgeon and her/his team to adapt the technique in her/his own clinic. All participating surgeons will be offered a proctoring program including five or more visits of international accredited proctors helping to set up the program in the own Hospital. Protocols will be handed out and team training will be included. In collaboration with Imperial college the quality of the procedure is assessed using an recently developed objective video assessment tool in order to achieve best quality surgery and patient care. The proctoring can be partly sponsored by industry. Special arrangements can be made in collaboration with the industry in collaboration with the VUmc. In order to apply for TaTME proctorship the center has to fulfill volume criteria, two surgeon training and the hands-on-course is required.