Abstract Aim To analyse trends in admission and surgery for rectal prolapse in adults in England between 2001 and 2012 as well as prolapse reoperation rates. Method Analysis of data derived from a comparative longitudinal population‐based cohort study using Hospital Episode Statistics (HES). Results During the study period, a total of 25 238 adults, of median age 73 [interquartile range (IQR: 58–83] years, underwent a total of 29 379 operations for rectal prolapse (mean: 2662 per annum).