Objective To explore the possibility of anal preserving after total mesorectal excision combined with stapling technique in radical resection of low rectal cancers. Methods We retrospectively summarized the data of 93 cases of low rectal cancer treated by radical resection and anal preservation, and made specific assessment of post operative rectal sensation and anal function. Results All of the cases were free of cancer invasion of the distal margin of resected bowel.The rate of local recurrence at 2 years after operation was 5.3 %, and 93.5% of patients had good rectal sensation and anal function. Conclusions Anal preserving operation for low rectal cancers using total mesorectal excision combined with stepling technique can improve the postoperative quality of life, and is safe and feasible.