A laparoscopically assisted procedure for the reversal of Hartmann’s colostomy was undertaken in 6 patients. The procedure was successfully done in 3 of them. The technique started with an external resection of the colostomy and the mobilization of the left colon, followed by a laparoscopic preparation of the rectal stump and a laparoscopically assisted stapled anastomosis. No morbidity and no mortality were noted, the mean operative time with laparoscopy being comparable to that with the open technique. Laparoscopic reversal of Hartmann’s procedure remains a difficult operation that has to be converted to an open procedure in 50% of the cases. When it can be achieved without conversion, the laparoscopic reversal procedure is safe and effective and can be undertaken in selected patients. Its value has to be confirmed by controlled stud