ABSTRACT Background Skill maintenance for rural surgeons is challenging. Surgery for colorectal disease requires a specialised skill set. Dual surgeon operating in low or medium volume centres may mitigate skill fade and improve surgical outcomes. There is a paucity of data on the outcomes of dual surgeon operating. Methods Prospective audit of outcomes after dual surgeon operations for colorectal disease in a non‐metropolitan surgical centre. Results are compared with treatment outcomes in the same hospital prior to the dual surgeon approach. Ethics approval CALHN Human Research Ethics Committee (Ref # 12041). Results One hundred fifty‐four patients underwent surgery for colorectal cancer during the audit period (November 2015 to February 2025). 60% of the patients were male ( N = 92); median age was 70 years. Compared to the historic contr
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