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This lecture explores the innovative technologies developed by Intuitive Surgical, focusing on the da Vinci Surgical System and its impact on surgical procedures. It discusses the growth in procedure categories, worldwide install base, and the shift towards less invasive approaches. The presentation emphasizes the importance of reducing variability in surgeon skill and enhancing patient outcomes. It also addresses the clinical need for better outcomes, patient experience, and lower total cost of care. The lecture highlights the core value of enabling surgeons to deliver value for patients and the implications of surgical outcomes. Additionally, it covers the use of smart systems and instruments to augment surgeon capabilities, capture meaningful information, and improve oncologic and functional outcomes.