Retrorectal(also known as presacral)tumor(RT)is a rare disease of retrorectal space.They can be classified as congenital,inflammatory,neurogenic,osseous,or miscellaneous.The most common presentation is an asymptomatic mass discovered on routine rectal examination,but certain nonspecific symptoms can be elicited by careful history and physical examination.The primary and only satisfactory treatment is surgery for RTs.Three approaches commonly used for resection are abdominal,transsacral,or a combined abdominosacral approach.Prognosis is directly related primary local control,which is often difficult to achieve for malignantlesions.