Background: Laparoscopic restorative proctectomy(LRP) for rectal carcinoma (RC) is considered to be a technically demanding procedure with many risk factors known to be associated with occurrence of complications. Objective: We aimed with this study to evaluate the various risk factors affecting perioperative and postoperative morbidity in LRP for RC. Patients and Methods: This is a prospective observational study included patients suffering from middle and distal third RC admitted electively to Sohag University Hospital and Colorectal Unit in Ain Shams University between January 2017 and December 2019 with a mean follow-up of 20 months. Patients were evaluated and analysed regarding demographics, clinical picture, different investigations, efficacy of LRP, and different risk factors for perioperative and postoperative complications. Results: A total of 35 patients underwent LRP for RC, perioperative complications happened in 8.5% and postoperative complications happened in 22.9%. Analysis of the variables affecting the occurrence of complications by univariate logistic regression showed that patients with co-morbidity were more likely to have complications than others (P=0.002), also patients with higher American Society of Anaesthesiologists' risk scoring grade were more likely to develop complications (P= 0.004), and in the same time the more advanced pathological stage had the same effect (P= 0.004). Conclusion: We found that the significant influencing factors for the occurrence of surgical complications were co-morbidity, more advanced pathological staging and higher ASA grade.