We present a case of a 62 year-old woman with advanced gastric cancer located at the antrum. A step by step reproducible sequence for standard D2 lymphadenectomy during distal gastrectomy for cancer. The sequence of lymph-nodes retrieval is: bottom up, right to left, dissecting the greater and the lesser curvature in a clockwise fashion.The first step is the section of the gastrocolic ligament from the center and extending to the left by dividing the gastro-splenic and colo-hepatic ligament to identify and retrieve group 4. By lifting the posterior gastric wall, the space created by the fusion of the 2 posterior layers of the greater omentum and the sovramesocolic band of Fredet, is exposed. This space contains vessels and nodes of the infra-pyloric region (group 6). The hepato-pancreatic folds runs from the head of the pancreas to the left margin of the hepato-duodenal ligament and contains lymph-nodes of group 12 Dissecting the hepato-gastric ligament, the fat tissue is removed exposing the cardias. The lymph nodes of group 1 are identified and retracted downwards until the angulus is exposed. Lymph nodes 3, within the small omentum, are dissected closed to the gastric wall. The gastro-pancreatic fold of Huscke, extending from the anterior face of the pancreatic body to the small gastric curvature, contains the origin of the left gastric vessels and the lymph nodes 7. During the last step of the lymphadenectomy the lymph-nodes at the origin of the splenic artery (group 11) and common hepatic artery (group 8) are dissected free.