Paediatric robotic surgery is widely performed internationally; however, no service, governance framework, or training pathway existed in Australia or New Zealand. This talk describes the experience of establishing a paediatric robotic surgery service and developing a reproducible framework for other centres. Service development required creating governance, credentialing, and training frameworks from scratch. Adult robotic models were adapted, paediatric-specific credentialing standards were defined, and training and accreditation requirements revised. A public-in-private service model added further complexity, requiring cross-sector collaboration and stakeholder engagement. Over 12 months, these efforts established a functioning service supported by a public–private agreement, enabling public paediatric patients to access robotic surgery safely. This experience proposes a framework structured around four pillars: feasibility assessment, training and credentialing, governance and risk management, and service implementation through collaboration, providing a practical guide for institutions seeking to introduce paediatric robotic surgery at their centres.