•    Even after over 10,000 robotic prostatectomies, prostate cancer surgery still remains extremely complex and challenging

•    As it is for all forms of surgery there is a significant learning curve 

•  Initial outcomes maybe worse and improve with experience

• The learning curve is steep and dependent on many factors

•    The robot itself does not make the outcome automatically better

•    Outside of patient characteristics the experience of the surgeon is the primary determinant of patient outcomes