Rectal prolapse is a rare disorder and due to the intususseption of the rectum. More than 100 procedures have been described for the treatment of rectal prolapse. In this study, 22 cases with rectal prolapse have been retrospectively reviewed during the 10-year period at department of General Surgery, School of Medicine, University of Çukurova. There were 16 (72.8 %) women, 6 (27.2 %) men, median age was 56-year. Twenty (90 %) cases were presented with complete (External) rectal prolapse at admission. Associated disorders were constipation in 6 (27.2 %) of the cases, incontinence in 4 (18 %) and rectal bleeding in 4 (18 %). Also, epilepsy (10 %) and psychosis (10 %) as a psychiatric illness have been detected in these group of patients. Increase of rectal wall thickness in 4 (18 %), solitary rectal ulcer in 2 (10 %) of the cases have been observed in recto-sigmoidoscopy. Barium enema has been performed to 12 (54.4) of the cases. Six cases have been operated at emergent conditions, the others were selectively. Posterior rectopexy (50 %) and Thiersch encirclement (36 %) were the most performed procedures. Postoperative morbidity was 30 %. Any mortality was observed. In the follow-up period, 2 cases with Thiersch encirclement were re-operated for recurrence, and posterior rectopexy has been performed. Because the natural history of prolapse frequently leads to complications of incontinence and constipation, we believe that all patients presenting with internal or external prolapse should be considered for repair. The selected procedure must be recommended according to surgical experience and signs, symptoms and the clinical status of the cases.