Robotic surgery is advancing rapidly, but access remains limited in low-resource settings.

• The U.S. houses about 60% of robotic installations, leading in both resources and research.
• Barriers include high costs, inadequate training, and regulatory issues, hindering wider adoption.
• Facilitators like public-private partnerships and tailored training can improve access and outcomes.

Surgeons should advocate for innovative strategies to enhance robotic surgery’s equity and effectiveness globally.