Medical device technology has an increasingly important role in surgical pr
ocedures. In this article, five case studies of bioengineering in surgery a
re described as follows: computer-aided design of vascular grafts; middle-e
ar prostheses; hip prosthesis stems for optimal cement pressurisation; prot
otype development of a device for measurement of abdominal sounds for monit
oring digestive tract activity and a hand-access device for laparoscopic su
rgery. In each case, new bioengineering design methodologies are demonstrat
ed. The general principles underlying the application of bioengineering in
surgery are discussed.