Thoracic surgeon Inderpal Sarkaria describes the applications of robotic surgery in thoracic procedures, including esophagectomy, at Memorial Sloan-Kettering. New technologies such as this one require ongoing and careful evaluation given that robot-assisted procedures are not necessarily proven to be more effective than other minimally invasive approaches. At Memorial Sloan-Kettering, robot-assisted surgery is used for pulmonary, mediastinal, esophageal, and other thoracic surgeries. Surgeons strive to research potential benefits of these procedures while, above all else, maximizing patient safety and outcomes. Dr. Sarkaria describes the use of the robotic platform to perform esophagectomy. He details operating room setup, port placement, and the use of this approach to complete lymph node dissection, pyloroplasty, and anastomosis. He also addresses the repair of giant paraesophageal hernia using the robotic-assisted technique.