Local recurrences (LR) of cancer recti are revealed in 10-40% of patients, in 22-50% they are considered nonresectable. Surgical interventions--most effective method of treatment in patients, suffering resectable LR of cancer recti. The experience adduced concerning surgical treatment of 40 patients with LR of cancer recti in 1988-2004 yrs. In 82.5% of them LR have occurred after performance of sphincterpreserving operations. All the patients were operated for the second time. In 60% of them the rectal stump and the transplant extirpation, as in Kenu operation, was performed, in 15%--peritoneoanal resection of cancer recti. The postoperative complications rate had constituted 7.5%, in secondary LR of cancer recti--25%. The three-year and five-year survival had constituted accordingly (38.9 +/- 8.1) and (20.4 +/- 7.2)%.