Surgery and the technologies and equipment needed to perform it continue to increase in complexity. Perioperative personnel are faced with increasingly complex tools to use,clean, decontaminate, and sterilize. Typically, the benefits of these innovations are designed to improve patient care and provide better outcomes; however, this is not always true. The benefits of robotic surgery, for example, include improved mobility, visibility, and ergonomic position for the surgeon and smaller incisions, less-invasive procedures, and less blood loss and transfusion requirements for the patient. Robotic procedures are performed in general, spinal, orthopedic, cardiac,gynecological, and neurological surgical specialties. All these improvements can, of course, lead to better patient outcomes and surgeon health.However, this innovation can sometimes be associated with an increased risk of infection. In some cases, this is related to the difficulty cleaning the complex instruments and equipment. Robotic-assisted procedures also involve a different work flow than nonrobotic procedures,which can challenge personnel in space-constrained ORs relative to maintaining good aseptic technique.