Clinical Dilemmas and Unresolved Issues in GynecologyUpdates and Controversies of Robotic-Assisted Surgery in Gynecologic SurgeryVARGHESE, AARON MD; DOGLIOLI, MARISOL BS; FADER, AMANDA N. MDAuthor Information Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland The authors declare that they have nothing to disclose. Correspondence: Amanda N. Fader, MD, Phipps 287, Baltimore, MD. E-mail: email@example.com Clinical Obstetrics and Gynecology: December 2019 - Volume 62 - Issue 4 - p 733-748 doi: 10.1097/GRF.0000000000000489 Buy Metrics Abstract minimally invasive surgery (MIS) is the standard approach to performance of several gynecologic procedures, including hysterectomy, gynecologic cancer staging procedures, myomectomy, pelvic organ prolapse repair, and select adnexal procedures. Robotic-assisted surgery, a computer-based MIS approach, has been adopted widely in the United States and several other countries. Robotics may offer technological and ergonomic benefits that overcome limitations associated with conventional laparoscopy; however, it is not clear that reported claims of superiority translate into improved gynecologic patient outcomes compared with other MIS approaches. This review critically appraises the evolving role, benefits, limitations, and controversies of robotic-assisted surgery utilization in benign and oncologic gynecology settings. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.