Abstract Introduction Laparoscopic surgery (LS) is well established in the United Kingdom (UK), while robotic surgery (RS) is increasingly adopted in elective practice. However, its role in emergency general surgery (EGS) remains undefined. This study provides the first national estimates of RS use in UK EGS, evaluating trends in utilisation, outcomes, and workforce capacity. Methods Two rounds of Freedom of Information (FOI) requests were submitted to all NHS acute trusts and boards providing EGS services across Great Britain, covering 1 January 2019–1 January 2023 and 1 January 2023–1 January 2025. Data collected included robotic system ownership, numbers and types of robotic procedures, length of stay (LOS), complication rates, and staffing. LOS data were reported as mean ± standard deviation, with differences between approaches assessed using Welch’s t-tests. Results Response rates were 83% (113/136 trusts, 2019–2023) and 65% (91/140 trusts, 20
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