Background: Rectal prolapse is a debilitating disorder with multiple modalities and approaches to surgical correction. The proctosigmoidectomy using Altemeier’s procedure is an effective surgical option. This study is intended to evaluate the morbidity, mortality, postoperative function, adaptability, learning curve and recurrences in patients treated by Altemeier’s proctosigmoidectomy. Materials &Methods: 20 patients with complete rectal prolapse are included and perioperative data were collected. The patients were followed up for 6–12 months and changes in pelvic floor function and recurrences were assessed. The Obstructive Defecation Syndrome (ODS) score, Vaizey score, International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) score and urinary retention score were analyzed for all patients. Results: One patient developed major postoperative complication due to the concomitant pneumonia, which resulted in respiratory failure. The Patients with a BMI greater than 30, higher age, concomitant disease and a high ASA score have shown no increased evidence of morbidity from this procedure. No postoperative mortality was noted. Two important criteria were used.The Obstructive Defecation Syndrome (ODS) score demonstrates a statistically significant decrease in the long-term follow-up. However, there was no significant improvement in the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) score, the Vaizey score or the urinary retention score. Levatorplasty had a significant impact on the ODS score.Four patients, comprising 20% of the total, had shown recurrence of prolapse within the period of one year. With reference to the demographic pattern of age (p = 0.188), BMI (p = 0.864), recurrent disease (p = 0.398), ASA score (p = 0.433), the length and level of the resected bowel (p = 0.126), with or without levatorplasty (p = 0.304) and previous perianal surgeries (p = 0.705), all have shown no relation to the recurrence of the disease. The patient profile in terms of satisfaction was much improved.Conclusions:Altemeier’s procedure is a safe and easy-to-perform surgical option for rectal prolapse. Only 20% recurrence rate in one year, with improved bowel evacuation capacity in patients who had constipation. However, there is not much improvement in faecal and urinary continence.