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Of the 313 million surgical procedures undertaken worldwide each year, only 6% occur in the poorest countries, where over a third of the world’s population lives. That factoid is from a great report by The Lancet which postulates that democratized surgical availability should result in 5,000 surgeries for every 100,000 people annually. That’s about 425 million surgeries a year minimum with adequate coverage. At $10,000 a pop, that’s about a $4 trillion market. Why not build a bunch of robots to perform these surgeries and harvest dollars alongside organs?
TAM vs. SAM
Let’s start with a very important concept – total addressable market or TAM. While the global TAM for surgical procedures may be massive, the number of surgeries that can be performed by robotic solutions is much smaller. Robots excel in elective, precision-driven, minimally invasive soft-tissue cases which represent about 5% of surgical volume – roughly 20 million procedures. So, the TAM for robotic surgeries sits at only 20 million annual procedures.


Now, how many of these procedures can be performed by the leading robotic surgical platform out there – Intuitive Surgical $ISRG? About nine million procedures annually, and that’s called a serviceable addressable market or SAM. In 2025, ISRG
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