Purpose Introduction of new transformative surgical technology requires navigation of a complex system from development to eventual implementation. There are several barriers to device implementation which slows clinical translation. We aim to review and critically analyse the barriers to introduction of new surgical technology in Australian healthcare, and propose a unified guide. Methodology We performed a literature review utilising a MEDLINE search “new device OR technology implement$ OR adopt$” AND “surg$” OR “urolog$” AND “Australia”. Websites with “gov.au”, the Royal Australasian College of Surgeons policies and position statements were also assessed. Results We identified four main stakeholder groups (medical professionals, government, hospitals and consumers) and assessed the key barriers to introduction of new surgical technology in Australia. Barriers included surgeon scepticism, governmental regulations such as listing on the Australian Register of Therapeutic Goods, individual hospital committee clearance, and meeting consumer expectations. Overall, we propose a five-phase system, including surgical device development (phase one), compliance with regulatory processes (phase two), research and experimentation (phase three), finalisation for product launch (phase four) and product launch and assessment (phase five). Conclusion There are a multitude of barriers with regards to new surgical technology implementation in Australia, and navigating through the complexity requires clear insight into the processes and procedures. Through identification of the barriers and our five-step guide, we believe innovators can better navigate introduction of new surgical technology into the Australian healthcare landscape.