Advancing minimally invasive surgery in Africa is challenging.

Minimally invasive surgery (MIS) has improved patient outcomes, yet its implementation in Africa faces significant hurdles. Economic constraints, inadequate healthcare infrastructure, and lack of training limit its adoption across the continent. Notably, only Egypt and South Africa have established robotic surgery programs. However, advancements in tele-robotic surgery and low-cost innovations show promise. Overcoming these barriers could enhance surgical care and benefit healthcare and economic outcomes in Africa, underscoring the need for strategic investment and policy support.