Introduction:

The field of robotic surgery has developed rapidly and its use for gynecological pathology has grown exponentially. Its benefits are well documented which include a better quality of life. The present study describes the experience in a private hospital in Mexico City.

Material and methods:

From May 2014 to March 2021, 250 patients with different gynecological diseases underwent robotic surgery, the surgeries were performed for ten qualified surgeons. Surgical results were recorded in a database.

Results:

250 patients underwent robotic surgery, 100% female, mean age: 43 years. A total of 250 simple procedures. The two most frequent surgeries were hysterectomy (63.2%) and myomectomy (30.8%). The average operating time was 182 min. 2.8% rate of complication.

Conclusions:

Robot-assisted laparoscopic surgery is a reality in Mexico, the experience is limited but produced encouraging results, we find this practice safe and feasible, with acceptable surgical time, low conversion rates, and low morbidity. This study is rewarding for its impact on our health care system but a major revision is important to improve our practice.