Hitendra R.H. Patel, BMSc.Hons, BM, BCh, MRCS, PhD, FRCS(Urol), FRCS (Eng) is Director of Minimal Access Surgery & Simulation, University Hospital North Norway (UNN). Mr Patel is also a fellowship trained Robotic Surgeon, with international peer reviewed publications in the field. He leads the change management group for the safe practice of key hole surgery at UNN. Mr Patel is an internationally recognised surgeon in these fields having published over 150 peer reviewed journal articles and 4 books, as well as giving more than 200 presentations at international meetings. Jean V. Joseph, MD, MBA is director of the Section of Laparoscopic and Robotic Surgery, University of Rochester Medical Center, NY, USA and is an international expert in the field of robotic surgery.