This study reveals trends in robot-assisted surgical training over 35 years, highlighting implications for surgeons and patient outcomes.

• Research output increased dramatically, with focus areas evolving through three phases: technical validation, methodological innovation, and standardization with AI integration.
• The U.S. contributed nearly half of all publications, with European Urology having the highest impact factor at 25.2.

This emphasizes the need for standardized training to ensure skill transfer to clinical practice.

• Challenges include integrating AI in training and establishing governance frameworks for consistent training standards.