The article explores the ethical implications of telesurgery in the current era of medical innovation, highlighting the expansion of surgical procedures beyond traditional settings. Key ethical considerations include: 1. **Surgeon-Patient Relationship**: The challenge of maintaining a deep connection with patients in remote settings, especially after the COVID-19 pandemic, which has seen an increase in telemedicine use. 2. **Dehumanization and Objectification**: The potential for advanced robotic platforms to distance surgeons from patients' individuality, emphasizing the need to ensure patient autonomy and individuality. 3. **Patient Vulnerability**: The remote nature of telesurgery introduces challenges in responding to complications and ensuring patient safety, requiring comprehensive informed consent and well-informed decision-making. 4. **Informed Consent**: The need to redefine informed consent to include detailed information about the procedure, its limitations, and the roles of both local and remote surgeons. 5. **Legal and Jurisdictional Issues**: The importance of harmonized legal frameworks to ensure patient well-being and professional responsibility, including malpractice obligations and reimbursement rules. 6. **Cybersecurity and Patient Confidentiality**: The vulnerability to cyberattacks and the need for robust cybersecurity measures to protect surgical integrity and patient confidentiality. The authors emphasize the importance of addressing these ethical dilemmas to establish a safe and responsible telesurgery routine, ensuring patient autonomy, transparent communication, and trust in the surgeon-patient relationship.The article explores the ethical implications of telesurgery in the current era of medical innovation, highlighting the expansion of surgical procedures beyond traditional settings. Key ethical considerations include: 1. **Surgeon-Patient Relationship**: The challenge of maintaining a deep connection with patients in remote settings, especially after the COVID-19 pandemic, which has seen an increase in telemedicine use. 2. **Dehumanization and Objectification**: The potential for advanced robotic platforms to distance surgeons from patients' individuality, emphasizing the need to ensure patient autonomy and individuality. 3. **Patient Vulnerability**: The remote nature of telesurgery introduces challenges in responding to complications and ensuring patient safety, requiring comprehensive informed consent and well-informed decision-making. 4. **Informed Consent**: The need to redefine informed consent to include detailed information about the procedure, its limitations, and the roles of both local and remote surgeons. 5. **Legal and Jurisdictional Issues**: The importance of harmonized legal frameworks to ensure patient well-being and professional responsibility, including malpractice obligations and reimbursement rules. 6. **Cybersecurity and Patient Confidentiality**: The vulnerability to cyberattacks and the need for robust cybersecurity measures to protect surgical integrity and patient confidentiality. The authors emphasize the importance of addressing these ethical dilemmas to establish a safe and responsible telesurgery routine, ensuring patient autonomy, transparent communication, and trust in the surgeon-patient relationship.