1. The prolapsing mucosa is resected 4cm upward in the anal channel.

2. The trained and experienced surgeon is able to perform operations above the pectinate line, for example, polyps, prolapsing tumors etc. without stretching the anal sphincters and without anaesthesia being neccessary.

3. Early diagnosed functional disorders of the ano-rectum or pelvic floor can be treated in the office by conservative treatment or out-patient surgery. The normal anatomy of the anal canal must be restituted by reducing enlarged haemorrhoids, removing a prolapse of the anterior rectal wall with rubber-band ligation, excision of chronic fissures and prolapsing tumours. The basic therapy then consists of normalisation of bowel habits and stool consistency.