Complications are inherent to rectal cancer surgery. Anatomic challenges of the pelvis, preoperative radiation therapy, and advanced disease contribute to the increased incidence of postoperative complications. Prolonged hospitalization and/or readmission are commonly required and adversely contribute to the overall cost of surgical care. In addition, health-related quality of life has been shown to be significantly impacted by major complications and prolonged hospitalization. Postoperative complications can lead to a delay in adjuvant chemotherapy administration and have been associated with decreased disease-free and overall survival.