Objective To summary the early experience of Dixon procedures with Da Vinci robotics surgical system for rectal cancer. Methods Eleven patients with rectal cancer underwent the combination of laparoscope and Da Vinci robotics surgical system with 4 trocars in our hospital from May. 2011 to Jan. 2012. Laparoscopy was firstly used to identify the possibility of the surgical procedure, then placed the 4 trocars, and maked sure the suspension of the sigmoid colon and the uterus. Transections of rectum were performed by a conventional laparoscopic method, and endoscopic separations were performed by Da Vinci robotics surgical system. The clinical data were retrospectively analyzed and the experience was summarized. Results The Da Vinci robotics-assisted Dixon procedures were successfully performed in 11 patients and no one turned to laparotomy. The operating time was 210-330min (mean 288.6min);the blood loss was 20-100ml (mean 40ml); The number of lymph nodes dissected was 12-21 per case (mean 13.9 per case);the duration of bowel movement and hospital stay were 18-26h (mean 22h) and 7-16d (mean 11.5d), respectively. There were no intraoperative or postoperative complications related to the use of robotics, and no residual cancer cells at resection margin. Conclusions Da Vinci robotics-assisted Dixion procedure with 4 trocars and suspension of sigmoid colon are safe and feasible, and it is beneficial to the recovery of patients