This presentation will discuss the contemporary role of Hartmann’s procedure in today’s practice. The evidence supporting the procedure will be presented and framed by the robust trials comparing it to primary anastomosis in the setting of perforated diverticulitis. Some tips for minimally invasive platforms will be discussed. There are many pitfalls that are uncovered with experience and these will be illustrated. Patients have articulated views regarding diverting stomas and their preferences will be presented.1, 2 [1]Mackay I, Clark DA, Nicholson J, Edmundson A, Steffens D, Solomon M. Risk taking propensity: Nurse, surgeon and patient preferences for diverting ileostomy. Colorectal Dis. 2022; 24:1073-9. [2]Clark DA, Stevenson A, Lumley J, et al. Does an ileostomy cover the surgeon or the anastomosis? ANZ J Surg. 2022; 92:19-20.