We present a minimally invasive robotic total abdominal colectomy with transanal specimen extraction and intracorporeal ileorectal anastomosis. The patient is a 25 yo female with genetically proven Familial Adenomatous Polyposis (FAP). Endoscopic evaluation revealed an attenuated phenotype with minimal polyp burden in the rectum (less than 10). After counseling the patient regarding her surgical options, she elected for a rectal sparing total abdominal colectomy with ileorectal anastomosis in an effort to maintain better bowel function and fertility. The video highlights tips and tricks for transanal specimen extraction and intracorporeal anastomosis. Transanal delivery of the EEA stapler anvil is also utilized. No linear staplers or extraction sites are used, keeping the incisions minimal with four 8mm robotic ports and one 5mm assist port. This technique should be used in the setting of benign pathology and favorable anatomy that allows passage of the specimen through the rectum and anus without damaging these structures.