Technical Challenges of Remote Access SurgerySummary: Telesurgery, or remote access surgery, is "the provision of remote surgical care with direct viewing and in real time of the surgical field with the help of telepresence technology and force feedback" [Nair, 1]. This article describes the potential impact of telesurgery on medicine and analyzes the technical obstacles that hinder the widespread use of this technology The term “tele-surgery” is used to describe surgical procedures performed by a surgeon remotely from the patient via a virtual interface. Still in the experimental stage and limited to minimally invasive surgical procedures. one day bridge the physical barriers between surgeons and patients When time is of the essence and patients are immobile or far away, telesurgery has the potential to save lives. However, the technical difficulties, financial costs and legal problems associated with this new technology mean that telesurgery is far from commonplace today. Unlike other forms of telemedicine such as remote medical consultation, telesurgery involves direct, real-time physical contact with a patient's body and therefore requires an unprecedented degree of precision, fidelity and timeliness. . This article identifies and explores the limiting constraints on the development of this new and revolutionary technology. He says the main challenges of telesurgery arise from its high implementation costs and the technical difficulties associated with recreating a real-time, virtual, touch-based operating environment. Telesurgery owes its origins to the need of the atomic energy industry in the 1950s to manage hazardous operations and hazardous materials in a safe manner....... middle of paper ......asha. Various aspects of telemedicine. 1997. Dempsey, Lorraine. Virtual reality in surgery. February 20, 2001. Ditlea, Steve. Robocops. An enterprise technology from MIT. November/Dec. 2000. Hickey, Christophe. Remote medicine: haptic-visual input. February 20, 2001. Kershaw, Charly. Remote-controlled surgery. March 21, 1997. .Nair, Nundu. Telesurgery. 1999. Pescovitz, David. In the waiting room. 2000. Proukas, Constantine-Basil et al. Technology and clinical applications: telemedicine. 1996. Proukas, Constantine-Basile. Medical robotics. 1996. Stevens, Rick L et al. Petaflops in medicine: PetaFlops telesurgery workshop. June 26, 1998. < http://www-fp.mcs.anl.gov/petaflops/95_workshop/participants.html>. Vanderheyden, L. Telesurgery: fiction or reality? Telemedicine file, 1997