Rectal prolapse looks obvious… until the shelf exam tries to trick you with hemorrhoids, mucosal prolapse, and the wrong operation.

In this episode of Surgery Shelf Prep, Chris and Mars break down rectal prolapse step-by-step: how to identify it fast using concentric versus radial folds, why adults need colonoscopy to rule out a lead point malignancy, and how to choose the right surgery based on patient frailty. We also hit emergency management of an incarcerated prolapse, plus high-yield procedures like abdominal rectopexy, Altemeier, and Delorme. Perfect for med students who want clean algorithms and fewer missed questions.