The application of telerobotic technologies to medicine and surgery st
rictly depends on research and development in five main areas: functio
nality, environment, physical constraints, communication, and security
. The clinical application of robotic technology in the field of micro
surgery, orthopaedic surgery, and minimally invasive surgery has shown
promising results, pushing researchers to further develop computer-ai
ded surgery as well as diagnostics systems and microrobots. Telemanipu
lation, interface technologies, sensors, vision systems, virtual reali
ty and function integration are employed to re-design the operating th
eatre, thus enhancing future applications of robotics in surgery. Beca
use of the restrictions in the surgical field, the construction of min
iaturized mechanisms is required, being grounded on different technolo
gies: silicon micromechanics, surface micro-engineering and LIGA techn
ology. Nanotechnology, memory alloys and superelastic materials are al
so employed. Other technological issues are: the communication of voca
l, visual, textual and numerical information via cable, satellite or l
aser satellite transmission. Security and confidentiality of data are
fundamental for telematics applied to medicine. Problems to be solved
are the quality of image transmission and the signal delay as well as
those related to working in a dynamic environment.