Tele-robotic surgery can be effectively performed over satellite communications, with experienced surgeons adapting to increased latency, making it a viable option for combat casualty care.

• A total latency of 78 to 378 ms was simulated; performance was consistent, showing no significant decline in task execution despite increased latency.
• General surgeon experience correlated with better performance and adaptation to latency.

This suggests that surgical teams could confidently utilize tele-robotic systems in remote environments, enhancing trauma care access.