A 67 years old male. Rectal PEMR two years ago. Post-polypectomy colonoscopy surveillance: LST-G 20 mm recurrence lesion in the rectal posterior wall, 20 mm from dentate line. This was the second case performed in Baza Hospital by Dr. Julio Guilarte, supervised by Dr. Katsumi Yamamoto (JCHO Hospital, Osaka) and suported by Dr. F. Gallego, Dr. PJ. Rosón and Dr. FM. Fernández Cano. Thanks to my friends and colleagues.