Ventral rectopexy (VR) has gained momentum in recent years as an operation for both full-thickness and internal rectal prolapse. Dissection is performed anterior to the rectum and mesh is fixed to the rectal wall and suspended to the sacrum. The initial description of VR known as the Orr-Loygue procedure involves full rectal mobilization anteriorly and posteriorly to the levator ani muscle level and suturing two meshes on to the anterolateral rectal wall.D’Hoore described a modified VR performed laparoscopically.Only the Denonvilliers fascia is dissected to expose anterior rectal wall and a single mesh is sutured onto the anterior aspect of the distal rectum. Posterior dissection is avoided and limited only to clearing the sacral promontory sufficiently for mesh fixation. Proponents of ventral rectopexy report low recurrence rates and functional improvements for both fecal incontinence and constipation. The aim of this review is to describe surgical technique and associated outcomes of VR.