Robotic high-intensity theater (HIT) lists enhance efficiency and safety for benign gynecological surgery compared to standard NHS operating lists.

• Mean operative time was significantly shorter for HIT at 72.5 minutes versus 129.3 minutes for standard lists.
• Complication rates remained low and comparable: 13% for HIT vs. 29% for standard.

Surgeons can consider implementing HIT to reduce waiting times without sacrificing patient safety or training opportunities.

• HIT patients had shorter hospital stays, averaging 0.4 days compared to 1.2 days for standard lists.