Lateral pelvic node dissection (LPND) can be challenging. Part of the problem arises from the fear that besets the surgeon when embarking on this procedure. This can be attributed to the fact that the pelvic side wall (PSW) is unfamiliar territory for most colorectal surgeons, compounded by the complex vascular anatomy within—namely, the multiple branches of the internal iliac vessels. Many surgeons are apprehensive about the disastrous consequences that can result from potential neurovascular injury during LPND. In addition, the procedure involves technically demanding dissection. First, the tissue planes can be ill-defined and edematous due to lymphatic congestion and radiotherapy. The resultant surgical plume also makes it challenging to maintain clear visualization of the operative field. In addition, the limited space for retraction and dissection results in suboptimal ergonomics, placing a greater demand on an experienced bedside assistant.