<p>This commentary addresses the article “The environmental impact of multi-specialty robotic-assisted surgery: a waste audit analysis” by Tjahyadi G et al. It underscores that the study, based on single-center data, reveals the significant environmental impact of robotic-assisted surgery (RAS). The disparities in waste generation across various specialties highlight the necessity of establishing an “environmental cost–benefit” assessment framework. Prioritizing the adoption of surgical techniques with reduced environmental footprints is essential. This study underscores the significance of cross-disciplinary cooperation, optimizing procurement strategies, promoting the development of RAS waste management standards, and fostering the integration of technological innovation with sustainable practices.</p>