"The field of Rectal Cancer management is shifting as never before : beset indeed by "angels and demons" - Angels - Unprecedented opportunities for improvement - robotics to increase precision in surgery, image guidance, intensity modulation and target stabilisation to refine radiation. Demons - the confusion of recent studies and the mounting morbidity of current protocols. The Champalimaud Foundation has brought together, perhaps uniquely, the “Watch and Wait" thinking of Habr-Gama and her team with the imaging and radiotherapy skills to exploit superior radiation technology ... On 22nd-23rd February we will share with you the many dogmas that now need to be challenged by the modern Colorectal Cancer MDT and the many improvements that now seem possible for the patients of tomorrow." Prof Bill Heald, Chairman of the “Colorectal Cancer Project”, The Champalimaud Institute for the Unknown, Lisbon, Portugal Conference Sessions: A. RADIATION AND SURGERY “Halsted is still alive” – positive nodes must be treated Radiation strategy Evaluating Response Surgery After Radiation Functional Damage B. SURGICAL OPTIONS Imaging is the Key Open TME APE Laparoscopy TME Robotic TME Trans-anal TME C. ORGAN PRESERVATION Which patients? When can we wait longer? Managing tumour "regrowth" Measuring the outcomes D. IMPROVING RESPONSE AND SURVIVAL More Radiation More Chemotherapy E. NEW HORIZONS F. FINAL CONCLUSIONS Event organisers: R. J. (Bill) Heald. CBE, MChir, FRCS (Ed) (Eng) Oriol Parés Carlos Carvalho Inês Santiago Nuno Figueiredo Amjad Parvaiz MBBS, FRCS, FRCS (Gen & Colorectal Surgery) Geerard Beets Full details of programme and speakers will be available shortly.