Objectives of the Colorectal MDT Discussion Review of Patient History and Disease Progression Detailed timeline of diagnosis, investigations, treatments, and follow-ups. Assessment of treatment response and disease progression over time. Evaluation of Current Clinical Status Post-operative findings from EUA and diversion colostomy. Extent of tumor involvement including anal and posterior vaginal wall. Multidisciplinary Input for Management Planning Oncology: Consideration of neoadjuvant chemotherapy. Surgery: Planning for Abdominoperineal Resection (APR). Reconstructive Surgery: Evaluation for vaginal reconstruction if en bloc excision is required. Radiology: Imaging interpretation to guide staging and surgical approach. Nutrition and Palliative Care: Supportive care planning. Decision-Making for Next Steps Finalizing surgical approach. Timing and coordination of further treatment. Addressing patient preferences and previous refusal of surgery.