Sir Ganga Ram Hospital in New Delhi recently carried out four robotic surgeries in which surgeons operated remotely from Vapi, Gujarat, covering a distance of more than 1,200 kilometres. The procedures were conducted on 11 and 12 February 2026 using the Mizzo Endo 4000 robotic surgical system connected through a high-speed, low-latency digital network.
Patients remained in the operating theatre at the Delhi hospital under the supervision of an on-site surgical and anaesthesia team. Meanwhile, the lead surgeons controlled the robotic system from a remote console in Gujarat. This coordinated effort demonstrated that complex surgical procedures can be performed safely across state boundaries when supported by stable digital infrastructure.
While telesurgery has been previously performed in India using various robotic systems and across different distances, the Sir Ganga Ram Hospital procedures represent one of the documented long-distance multi-case robotic telesurgery sessions conducted within the country.
Robotic telesurgery combines robotic-assisted surgery with telecommunication technology. In standard robotic surgery, the surgeon sits at a console and manipulates hand controls. The system translates these hand movements into precise, scaled motions of robotic instruments positioned inside the patient’s body. A high-definition, three-dimensional camera provides a magnified view of the surgical field.
In telesurgery, the surgeon and the patient are located in different cities. The surgeon’s commands and the visual feedback from the operating field travel through a secure, high-speed network. For safe performance, the system must maintain extremely low latency, meaning there is minimal delay between the surgeon’s action and the robot’s response. Network stability is therefore critical to patient safety.
According to reports, specialists in urology and general surgery performed four procedures within a 24-hour period. As reported by MSN, the hospital stated during a conference on Wednesday that the procedures were carried out at Sir Ganga Ram Hospital.
The Mizzo Endo 4000 robotic platform enabled the surgeons in Gujarat to control instruments in real time inside the Delhi operating theatre. The hospital maintained continuous coordination between the remote console team and the on-site clinical staff.
The procedures were completed without technical interruption. On-site teams managed anaesthesia, patient monitoring, and operating room protocols, ensuring that immediate support was available if required. Speaking
Tele-surgery allows us to deliver the same precision and surgical confidence across distances as we would in the operating room.Dr. Vipin Tyagi, Robotic Coordinator in the procedure
In a statement, Dr. Ajay Swaroop, Chairman of the Board of Management, said that this milestone demonstrates the hospital’s ongoing effort to integrate clinical expertise with modern technology to expand access to quality healthcare services.
Robotic-assisted surgery is already used in several specialties such as urology, general surgery, and gynaecology. Clinical evidence has shown that minimally invasive robotic procedures can reduce blood loss, shorten hospital stays, and support faster recovery compared to open surgery in selected cases.1
Remote robotic surgery extends these benefits by enabling specialist surgeons to operate on patients located in different regions. In a country with geographic and infrastructural disparities in healthcare access, telesurgery may help reduce the need for long-distance patient travel to metropolitan centres.1
India has witnessed multiple telesurgery demonstrations and clinical applications in recent years, using different robotic platforms and connectivity systems. These developments reflect the gradual expansion of telesurgical capabilities alongside improvements in digital infrastructure and robotic surgical technology.
The ongoing development of connectivity, together with surgical technology, will create more chances to connect treatment facilities with patients in remote areas.Dr. AK Bhalla, Honorary Secretary, Board of Management
The success of robotic telesurgery depends on reliable high-speed internet connectivity, secure data transmission, and strict operational protocols. Hospitals must ensure cybersecurity safeguards and real-time monitoring of network performance.1
Importantly, a trained surgical and anaesthesia team must remain physically present with the patient at all times. Remote surgery does not eliminate the need for local clinical expertise; instead, it integrates remote specialist control with on-site patient management.1
The recent surgeries conducted between Gujarat and Delhi demonstrate the feasibility of long-distance robotic operations within India. As digital infrastructure continues to improve, robotic telesurgery may become an additional model for delivering specialised surgical care across regions.
However, expansion will require sustained investment in connectivity, training, and regulatory oversight to ensure patient safety and consistent standards of care.
1. Xie, X., Y. Tian, J. Huang, Q. Luo, and T. Chen. “Surgery without Distance: Will 5G-Based Robot-Assisted Telesurgery Redefine Modern Surgery?” Translational Lung Cancer Research 14, no. 5 (2025): 1821–1829. https://doi.org/10.21037/tlcr-2025-16. PMID: 40535085; PMCID: PMC12170204.
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