Background Management of Low Anterior Resection Syndrome (LARS) is complex, with a multitude of options, each with varying degrees of success, not necessarily correlated to their degrees of invasiveness. As there remains no universal guideline to its management, we set out to discover the treatment modalities commonly used by colorectal surgeons in Australia and New Zealand. Method Colorectal surgeons from Australia and New Zealand were invited to participate in a 17 point online survey, primarily through the Colorectal Surgery Society of Australia and New Zealand (CSSANZ) and personal networks. This encompassed treatment modalities used, duration and commencement of treatments, as well as their experience in its efficacy in reducing the incidence of LARS. Ethics approval obtained. Results 65 surgeons participated in the survey. 85% would use dietary modification, probiotics, medical therapy and fibre supplementation as it was cheaper and convenient for patients. 62% would refer for pelvic floor physiotherapy, 39% with biofeedback. 35% would include neuromodulation in their treatment regimen. Pelvic floor physiotherapy was felt to be beneficial with appropriate patient selection, but issues of access, cost and patient compliance could be barriers to success. A majority would initiate treatments between 1-3 months after reversal of ileostomy. 75% of surgeons feel that their treatment regime improves symptoms of LARS without reducing its incidence. Conclusion There is an increasing recognition that treatment of LARS involves a combination of multiple modalities. Further studies are required to define the role of each modality and inform the development of uniformed clinical guidelines.