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We report a novel technique of radiowave ablation and circumferential plication of the rectal mucosa as a treatment for rectal mucosalprolapse that is performed as a day care surgery.Radiowave ablation is performed using an Ellman radiowave generator. Mean hospital stay, postoperative pain, complications,time to return to work and effectiveness of theprocedure were recorded.Two hundred and four patients were operated over a period of 5 years and followed up for at least 3 years. The mean operation time was 7 min (range 6-10 min). The mean time until first bowel movement was 24 hours. The time to return to normal daily activity was 7-10 days. Complete wound healing was achieved in 14 days in 98% of patients. Late complications included anal skin tags, anal papillae and recurrence in 2% of patients.Theprocedure of radiowave ablation and plication of the rectal mucosa is a safe, effective, and swift technique. It can beproposed as a better alternative to conventional surgicalprocedures for rectal mucosalprolapse.