Purpose Published evidence suggests a shorter length of stay (LOS) following laparoscopic colorectal resection. Increased LOS may result from conversion to open surgery and post‐operative complications but these factors are generally unpredictable. By contrast, the need for a permanent or temporary stoma is often predictable and may alter the LOS.Methodology This was a retrospective analysis of a prospectively collected database of all laparoscopic rectal procedures performed under the care of one surgeon since June 2003. Conversion was defined as an incision made in order to progress the intra‐abdominal dissection, either by a midline, Pfannenstiel or targeted incision.Results 105 patients were included in the study (90 anterior resections, 10 abdomino‐perineal resections (APER), 3 Hartmann’s resections and 2 completion proctectomies). Conversion was performed in 27 patients (26%). Median LOS was 6 (range 3–83) days for the laparoscopic group and 7 (range 4–24) days for the converted group (p = ns). A stoma was performed in 27 patients (26%). Following anterior resection without stoma, median LOS was 6 (3–83) days. By contrast, after anterior resection with covering stoma, medi
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