Introduction Robotic surgery is rapidly expanding its applications across multiple surgical specialities, however limited robotic services in regional centres is restricting patient accessibility to a new standard of care. Presented is the approach implemented at a Toowoomba public and private hospital in regional Queensland, and considerations in implementing a new robotics regional service. Approach Pre implementation requires identifying the stakeholders and a steering committee for implementation planning. This should consider business plan preparation including market and cost analysis, list management planning, equipment procurement and identification and appropriate training of the team including surgeons, surgical assistants, nursing and anaesthetics. Early implementation involves the initial integration of the new robotics service following procurement of the equipment. Reviewing and optimising theatre workflow, appropriate early patient selection and familiarising the team with new procedures and equipment with multidisciplinary training sessions will afford better flow and outcomes. Pre, intra and post operative care needs to be considered, and the importance of non-technical skills cannot be underestimated. Post implementation, the focus realigns to improving and maintaining competence and efficiency, ongoing education and simulation, expanding the team and auditing practice. Conclusions Integration of new technologies requires considered planning and teamwork to successfully implement it into regular practice. As the role of robotic surgery continues to expand across and within surgical specialities, the divide between metropolitan and regional care will continue to widen if their accessibility remains limited.