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Quality of surgery for rectal cancer plays a vital role in treatment outcome. The quality of mesorectal excision is recorded by the pathologist in the minimum cancer dataset for rectal cancer.The aim of this study was to assess the accuracy of the surgeon's own grading of the mesorectal excision.Consecutive patients who had rectal cancer surgery between 4/2007 and 10/2009 were identified from the pathology database. Full pathology cancer dataset including type of operation, surgeon's own score and pathologist's grading of TME were analysed.Seventy patients (23F:47M) underwent rectal cancer surgery over 30 months. Fifty-seven anterior resections and 13 AP resections were performed. 23/51 specimens had histological TME scores of 3, 22/51 scored 2 and 6/51 scored 1. Surgeon's TME scores were recorded in 27 cases. 20/27 (74%) were in agreement with the histological TME score. Surgeons under-scored in 4/27 (15%) cases and over-scored in 3/27 (11%) cases.Surgeons accurately scored their TME in 74% of cases. It is important for a colorectal surgeon to be able to assess their own quality of surgery, especially in rectal surgery, in order to continue to improve outcomes.