The aim of this study is to present a case of laparoscopic treatment of perineal hernia in a patient after abdominoperineal resection due to cancer. We present the case of a 63-year-old woman who underwent treatment of perineal hernia. The patient was operated on laparoscopically with a mesh sewn in at the level of the promontorium and covered with a peritoneal flap above the urinary bladder. A 63-year-old woman was 4 years after laparoscopic APR performed by the same author. She underwent neoadjuvant treatment preoperatively before APR. The postoperative period was uncomplicated. Histological examination: T3N0M0 cancer. The perineal wound healed without complication. 2 years after the above-mentioned surgery, the patient began to experience abdominal pain, especially when sitting down, and symptoms related to "sitting on a pillow". Physical examination revealed a palpable bulge in the perineal wound. The patient did not present any symptoms of intestinal transit disorders. The tomographic examination revealed intestinal loops in the perineum and the presence of fatty tissue without any signs of cancer recurrence. 10 cm mash was sewn from the front to the scar of the removed uterus, to the side in the immediate vicinity of the iliac arteries and backward to the sacrum below the promontorium. The abdominal symptoms disappeared completely, the so-called perineum cushion was entirely reduced. Laparoscopic treatment of perineal hernia may be a beneficial method for patients, but a demanding method for surgeons.