Introduction: Controversy surrounds the optimal approach in minimally invasive colorectal procedures between intra-corporeal (ICA) and extra-corporeal anastomosis (ECA). Prior studies recognise short-term benefits in right hemicolectomy with intra-corporeal approach offset by increased operative difficulty. This study explores factors influencing ICA adoption and assess attitudes towards teaching ICA. Methods: An online cross-sectional survey of active general surgeons was conducted through the General Surgeons Australia between July and August 2023. Questions covered demographic, preferences for ICA and Likert scale for attitude for simulation-based training. Logistic regression was completed to identify predictors of ICA use and ordinal regression was completed to determine attitudes towards simulation-based training. Results: There were 43 respondents. 72.1% of surgeons preferred ECA. Regional surgeons and surgeons with higher colorectal volume were associated with increased ICA adoption. Surgeons recognised that ECA should be taught first and easier to teach. Surgeons who routinely close bowel or enteric defects intra-corporeally are 354% more likely to have an interest in simulation-based training to adopt ICA, however, surgeons who are not involved in teaching trainees did not show an interest in simulation-based training. Conclusion: Intra-corporeal anastomosis is not the preferred technique amongst Australian general surgeons. Like the adoption of laparoscopic surgery in the early 90s, is there a similar lagging effect with the adoption of ICA? Surgeons agree simulation-based training would assist with the uptake of intra-corporeal anastomosis; however, a multi-modal approach is required to increase adoption.