Inclusion Criteria:  Low anterior resection by a laparoscopic, robotic, transanal total mesorectal excision, or open approach with (or without) creation of a diverting loop ileostomy for the treatment of rectal cancer, advanced adenoma or dysplasia And have had their ileostomy closed (if applicable) And completed treatment at least 6 months ago (including ileostomy closure) And LARS score > 20 points  Exclusion Criteria:  Inability to provide informed consent, including fluency in English or French language unable to access the internet, presence of an ostomy, no active or ongoing treatment anastomotic stricture, sinus or any other ongoing anastomotic complications.