There is an increasing migration from standard microsurgical approach to robotic assistance. This evolution creates a demand for technological advances and novel adjunctive tools. The VITOM camera system (Karl Storz, Tuttlingen, Germany) is one such development for enhanced magnification. Micro-Doppler probe (VTI Vascular Technology, Inc., Nashua, NH) and micro-ultrasound probe (Hitachi-Aloka, Tokyo, Japan) allow for intraoperative real-time identification of the surrounding vasculature. The Vein Viewer (Christie Digital Systems, Cypress, CA) is also another adjunctive tool that allows intra-operative detection of small diameter veins. Flexible fiber optic carbon dioxide laser (Omni-Guide, Cambridge, MA) offers a novel ablation technique with precise and decreased thermal damage for robotic micro-surgical dissection. Single port orifice robot technology (SPORT, Titan Medical, Inc., Toronto, Ontario, Canada), the surgeons operating force-feedback interface Eindhoven (SOFIE, Eindhoven University of Technology, Eindhoven Netherland), Raven (University of California, Berkeley, CA) and Amadeus (Titan Medical, Inc., Toronto, Ontario, Canada) are upcoming novel robotic platforms that are still in their development process. In addition to such new adjunctive tools and robotic platforms, there is also a new framework called IDEAL recommendations in an effort to optimize surgical innovations.