The use of robotic-assisted pediatric surgery was first published in 2001 in Germany and included the descriptive experience related to Nissen fundoplications performed on a 10 and 12 year old.1 More than 20 years later, the use of robotic surgery in children has expanded. From 2001-2012, 2,393 robotic-assisted pediatric surgeries were performed on 1,840 patients, including gastrointestinal, genitourinary, and thoracic procedures.2 Furthermore, from 2010-2019 a significant rise in the number of