In the current issue of the journal, I would like to highlight the article by colleagues from the Surgery Department in Ostrów Mazowiecka, which addresses the challenge of managing patients with concurrent rectal and pelvic organ prolapse. In such cases, the most commonly employed surgical approach is ventral mesh rectopexy (D’Hoore procedure) combined with simultaneous sacrocolpopexy. In their paper, the authors also present other operative techniques that may be considered, taking into account the patient’s age, general condition, and the underlying mechanism of prolapse. In my view, since this is a rare and typically elective procedure, it should be performed by surgeons with specialised expertise in colorectal surgery.