Since 2010, Dr. Steven Wexner and I have collaborated on the annual “Dueling Debates in Colorectal Surgery.” Every year, I pay special thanks to Dr. Wexner for lending his time and expertise in the current debates in colorectal surgery. In this year’s issue, I present current debates in colorectal surgery, including parastomal hernia prevention with mesh, whether fluorescence angiography should be used to assess anastomotic perfusion, and whether neoadjuvant chemotherapy