Background: Accurate surgical documentation is important for patient safety. Narrative operation reports (NRs) have inherent limitations which hinder comprehensive reporting and effective analysis. Synoptic operation reports (SRs) offer a standardised alternative allowing for efficient data capture. This study aims to develop a standardised synoptic operation report for colon and rectal cancer (CRC) resections in Australia and New Zealand (ANZ). Methods: A literature review identified key factors for SR inclusion. An expert panel from the Australian and New Zealand Training Board in Colon and Rectal Surgery reviewed and provided input on standard reporting domains. A survey among members of the Colorectal Surgical Society of Australia and New Zealand collected opinions and feedback on the draft SR. The final SR was developed based on consensus from the expert panel and survey results. Results: Survey results showed positive opinions on SRs, with 83% of respondents supporting their use. Feedback highlighted concerns about the length of the SR, integration into existing electronic medical record systems (EMRs), and potential benefits for research and data collection. Conclusion: This study presents a standardised SR for CRC resections in ANZ. Challenges include resistance to change and the need for integration with EMRs at individual institutions. The authors emphasise the iterative nature of SR development, seeking ongoing feedback for future refinements and the keep pace with changes in care. The introduction of an ANZ SR for CRC is an important step towards improving surgical documentation and fostering potential advancements in care.