Robotic-Assisted Knee Surgery in Canada: What You Should Know

Dr. Omar Dessouki
Sep 4, 2025
For Canadians living with ongoing knee pain, limited mobility, and the stress of uncertain wait times, exploring private surgical options seems to be the way forward - but the process can feel overwhelming. From sifting through many providers to selecting the right treatment, there are many questions for Canadians. Educating oneself on the process and procedures available is a proven way to enter the private surgery world with more certainty.
Knee surgery techniques have been advancing at a rapid rate. Robotic-assisted knee surgery is one of the newer technologies available in orthopedic care. It is now being offered by qualified private surgical teams here in Canada.
Whether you're navigating options for yourself or supporting a loved one, this guide will explain everything about robotic-assisted knee surgery, such as its eligibility criteria, availability in Canada, and more.
What is Robot-Assisted Knee Surgery?
Robotic-assisted knee surgery is a procedure in which a qualified surgeon uses robotic technology for planning a knee replacement with precision.
The robot doesn’t perform the surgery; it helps the surgeon by providing real-time feedback to assist with the procedure. This information helps the expert optimize alignment and protect surrounding tissue.
Robotic technology is often used in full or partial knee replacements for patients with conditions such as:
● Osteoarthritis
● Past joint trauma
● Degenerative joint disease
● Certain congenital or structural knee issues
The goal of using a robotic knee system for surgery is to improve the consistency during the placement of knee implants. It also offers support to the private orthopedic surgeon when making cuts around sensitive knee joint areas.
Is Robotic-Assisted Knee Surgery Available in Canada?
Yes, robotic-assisted knee surgery is available in Canada. In recent years, private clinics and surgery concierges, including Pathway Surgery, have introduced robotic technology as part of their orthopedic services.
Many private orthopedic surgeons are now investing time in training with the latest systems to ensure they can perform robotic-assisted knee surgery with proper qualifications.

The ROSA system is approved for use in Canada and is increasingly being integrated into clinical settings as more orthopedic surgeons undergo specialized training.
What Robotic System is Used at Pathway Surgery?
At Pathway Surgery, we use the ROSA Knee System which was approved for robotic-assisted knee procedures by Health Canada in 2019. It uses advanced technology to assist private orthopedic surgeons.
ROSA supports the surgical team by offering real-time data and imaging feedback to assist with implant alignment and soft tissue protection. The system is designed to help enhance accuracy while allowing surgeons to exercise full control throughout the private knee surgery in Toronto.
Why do Some Patients Consider Robotic Assistance?
Robotic-assisted surgery may be considered when enhanced planning and precision are priorities. While not every patient requires robotic technology, your surgeon may recommend it based on factors such as anatomy, implant type, or past surgical history.
Some reasons why this technology is used include:
● Support for surgical planning: ROSA allows the surgeon to create a customized plan before making any cuts.
● Intraoperative feedback: Surgeons receive real-time data to help guide positioning and avoid excessive bone removal.
● Soft tissue preservation: The robotic tools can help protect ligaments and soft tissue surrounding the knee.
The recovery outcomes for robotic knee surgery vary from one person to another. However, ROSA may enhance treatment accuracy if the patient meets the criteria of a good prognosis.
Is Robotic-Assisted Surgery Good for Complex Cases?
Whether robotic-assisted surgery is suitable for complex cases depends on individual case circumstances. For example, it may be helpful when a patient with a prior knee surgery requires revision.
The surgical system can assist with precise planning that plays a critical role in revision surgeries, especially when a surgeon has to work around previously installed metal work in the knee.
Your care team will assess whether this option is suitable based on your specific medical history, risk factors, and prognostic factors.
The Pathway Surgery Approach to Robotic-Assisted Knee Surgery
At Pathway Surgery, we offer both traditional and robotic-assisted knee procedures. Our private orthopedic surgeons work with patients to understand their goals, review imaging, and determine whether robotic technology may support their surgical plan.

We have a clear and supportive intake process. Our expert team provides personalized care, from the first consultation through recovery planning, so that patients and families can make informed decisions every step of the way.
Frequently Asked Questions
Is Robotic Knee Surgery Available in Ontario?
Robotic knee surgery is available in Montreal at Pathway Surgery. Our experts will check if you’re a suitable candidate for robotic-assisted knee surgery and offer you guidance using real-time statistical data. For patients outside Montreal, the Pathway Surgery team can help arrange travel and accommodations.
How do I Know if I’m a Candidate for Robotic-Assisted Knee Surgery?
Eligibility is determined by your private orthopedic surgeon based on your medical history, imaging results, extent of immobility, and overall health. Getting a consultation is the best way to understand whether robotic-assisted surgery is appropriate for you.
Is Robotic Knee Replacement Better than Traditional Knee Surgery?
Not necessarily. Robotic tools are just that — tools. The decision to use robotic assistance depends on the surgeon’s assessment of your needs. In some cases, traditional techniques are just as effective.
That said, a 2023 peer-reviewed study published in the Journal of Robotic Surgery found that robotic-assisted knee replacements were associated with:
● A 14% shorter hospital stay
● A 74% higher likelihood of being discharged directly home (instead of a rehab facility)
● A 17% lower risk of readmission within 90 days
These findings suggest that robotic-assisted procedures may support a smoother recovery in some patients.
Next Steps – Connect with Pathway Surgery for Robotic-Assisted Knee Surgery
Robotic-assisted knee surgery is an innovative procedure that must be performed by qualified orthopedic surgeons. Pathway Surgery provides a supportive and sterile environment to conduct knee replacements using the ROSA device for eligible patients.
Our qualified medical team is here to support patients across Canada in need of knee replacement. Contact us today to book a consultation for robotic arm assisted knee replacement surgery.