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Who Should Operate on Your Rectal Tumour?

Last updated: 04-Nov-2026

Told you have rectal cancer and unsure who should operate? Message Dr Harsh Shah’s team on WhatsApp. · Call +91-63555-64601

Portrait of Dr Harsh Shah, gastro and cancer surgeon, Ahmedabad

Dr Harsh Shah
MS, MCh (Surgical Gastroenterology), DrNB (Surgical Gastroenterology)
Registered with Gujarat Medical Council, Reg. No. G-38738
Gastro & Cancer Surgeon · Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad

18 years of experience in operating on the rectum, colon, stomach, liver and pancreas. He was trained at Maulana Azad Medical College and GB Pant Hospital in Delhi.

In short

Choose a surgeon who treats bowel cancer often, plans your care with a team, and tells you plainly what the operation will mean for your bowel habits. The rectum sits deep in the pelvis, so who operates changes the result.

You are allowed to ask questions, see another surgeon and take a few days. Rectal cancer is rarely decided in a single afternoon.

The full approach to this cancer is on the rectal cancer surgery with Dr Harsh Shah page. This page helps you choose who should do it.

Why the choice matters for rectal cancer

The rectum is a narrow space between the pelvic bones, close to the bladder, nerves and the muscle that keeps you continent. Clearing the cancer fully in that space takes training and routine.

Colon cancer can be removed in open space. Rectal cancer is different. The surgeon must remove the rectum with its surrounding fat and lymph glands in one clean package, while protecting the nerves that control urine and sexual function. A clean removal lowers the chance of the cancer coming back in the pelvis.

What to look for in a rectal cancer surgeon
What to look forWhy it matters
Training in bowel and gastro cancer surgeryPelvic work needs a surgeon who does this kind of operation regularly, not once in a while.
A team that meets before the planSurgeon, oncologist, radiologist and pathologist agree on the order of treatment.
A pelvic MRI that is read with youIt shows how close the growth is to the muscle of the rectum and the edge of the pelvis.
Both keyhole and open optionsThe route is chosen for your body and your stage, not to suit the surgeon.
Straight talk about a stomaA temporary or permanent bag is sometimes needed. You should hear this before, not after.
Care after the operationBowel habit changes, diet and check-ups should be planned, not left to chance.

If you also want to see how surgeon choice works for other bowel and stomach cancers, read how to choose a stomach cancer surgeon.

Questions a good surgeon will welcome

A surgeon who is sure of the plan does not mind questions. Write them down and take a family member along.

  • Where exactly is the growth, and how far is it from the anal opening?
  • Do I need medicine or radiation before the operation, and why?
  • Can the sphincter muscle be saved, so that I can pass stool normally?
  • Will I need a stoma, and for how long?
  • How many operations like mine do you and your team do in a year?
  • Who looks after me in the first nights, and who do I call if something feels wrong?

Counting numbers is not the whole answer, so listen also to how clearly the plan is explained to you.

Signs that you should pause

Be careful if you are pushed to decide at once, or if nobody has looked at a pelvic MRI.

  • You are told to sign for surgery before staging scans are complete.
  • A stoma is brushed aside as “unlikely” without a reason.
  • Your questions are met with irritation, or you are told not to seek another opinion.
  • The plan changes from visit to visit without any new test.

None of these means the surgeon is poor. They mean you need more clarity before you agree. For tumours that sit behind the rectum, see retrorectal and presacral tumour surgery.

Dr Harsh Shah sees patients at Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad. Bring your scans, scope report and biopsy report. He will go through them with you, explain the plan in plain words and answer what you ask.

Frequently asked questions

Should rectal cancer be operated on by a general surgeon?

Rectal surgery is demanding work in a tight space. A surgeon trained in gastro and cancer surgery, who does it regularly, is a safer choice than someone who operates on the rectum only occasionally.

Is it right to take a second opinion?

Yes. A good surgeon will not object. Take your scans and reports along so that the second surgeon does not need to repeat tests.

Can I choose between keyhole and open surgery?

You can discuss it. The route depends on the stage, the site of the growth and your general health. Your surgeon should explain why one is advised for you.

How long can I take to decide?

A few days to a couple of weeks is usually reasonable once staging is complete. Your surgeon will tell you if your case cannot wait.

Will I definitely need a stoma?

Not always. It depends on how low the growth is and how the join heals. A temporary stoma is sometimes used to protect the join, and it is usually reversed later.

Where to see Dr Harsh Shah

Dr Harsh Shah — Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad
Dr. Jivraj Mehta Hospital, Dr Jivraj Mehta Marg, Vasna, Ahmedabad 380007.
Consultations, review of reports and scans, operations and follow-up. OPD Monday to Saturday, 9 am to 5 pm.
Appointments: +91-63555-64601 · +91-63590-11009 · Hospital 079-2663 6363
Directions to the hospital · WhatsApp +91-63555-64601

Back to the main guide: Rectal cancer surgery with Dr Harsh Shah.

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Dr Harsh Shah, Gastro, Cancer & Laparoscopic Surgeon, Ahmedabad
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