Anterior rectocele is a quite common problem in multiparous women, which requires surgery after failure of conservative measures. Laparoscopic ventral mesh rectopexy (LVMR) has been adopted as a line of treatment, with questionable outcomes. The current study aims to report the efficacy of LVMR in the treatment of anterior rectocele and its short term functional outcomes. Methods: Fifteen female cases were included in the current prospective cohort study, which was conducted in the colorectal surgery department of Mansoura University Hospital from February 2021 to July 2022. All patients underwent LVMR. Patients were evaluated preoperatively and postoperatively by using the Cleveland Clinic Constipation Score (Wexner score) and the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results: The median age was 42(35-50) years. The mean body mass index (BMI) was 31.1±3.4 kg/m2. The median duration of obstructive defecation symptoms was 3(2-4) years. The mean size of rectoceles in defecography was 5±1cm. The median follow up was 14(11-18) months. The mean Wexner constipation score showed a significant decrease at 12 months of follow up (16.7±3.2 (preoperative) vs. 10.4±2.3; P<0.001). After 12 months of follow up, the mean PISQ-12 score improved significantly 24.4±3.2 (preoperative) vs. 14.7±3.6; P=0.04). No mesh related complications were reported. Conclusion: LVMR is a safe procedure for complex rectocele with comparable functional outcomes. Obstructive defecation symptoms and sexual function showed significant improvement after 1 year of follow up. Nevertheless, long-term follow-up data is needed.