A 63-year-old-woman was referred due to a 40-mm-laterally-spreading-tumor, nongranular (LST-NG), Paris 0-Is+IIa, JNET-type-2B, consistent with residual lesion from previous resection, with tattoo beneath it, in the descending colon. ESD was initiated with a partial mucosal incision (figure 1). Difficulty in exposing submucosal layer was noted even with the pocket-creation method and underwater strategy. After complete circumferential incision, a clip grasping a rubber band with 3 nylon rings (handmade with fishing line) attached, was applied to the lesion (figure 2-3). One of the nylon rings was grasped with another clip and applied to the opposite bowel wall providing effective traction (figure 4-5). ESD was then able to be performed safely up to a point where traction was no longer effective (figure 6). Then, the nylon ring attaching the rubber band to the colonic wall was cut with a loop cutter (figure 7). Another clip grasping one of the remaining nylon rings was applied in a different location in the colonic wall, allowing effective traction again (figure 8-9). Subsequently, ESD was possible again allowing en bloc resection with no adverse events.