On February 11, Paul Buxton, a 62-year-old cancer patient from Gibraltar, became the world’s first successful remote telesurgery patient. This historic medical achievement is evidence of the amazing advancements in surgical technology. The procedure, conducted by Professor Prokar Dasgupta – one of the UK’s leading robotic urological surgeons – was the first in the world to use this innovative surgical technology. This innovative trial is making it possible for patients to get the life-saving medical services they need without long-distance travel and long-waiting times.
Writer and musician Paul Buxton was dealt the devastating blow of a prostate cancer diagnosis just after Christmas last year, sending him into urgent treatment and recovery. In years past, he would have faced a lengthy trip to London. There, he would simply be placed on the NHS waiting list for surgery. Buxton noted that had he not found himself a telesurgery alternative in Gibraltar, he would have had to fly all the way to London. Instead, he would have had to deal with the NHS waiting list, gotten the procedure done there, and probably have spent three weeks in the metropolitan area. So I thought: ‘This is a no-brainer’.
Originally from Burnham-on-Sea in Somerset, Buxton settled in Gibraltar 40 years ago, where he runs a transport business. He began his story by sharing his appreciation for the outstanding care he has received. He told us he had been “very well looked after” and that he was “feeling fantastic” following the surgery.
The pioneering contracture release surgery was performed using the Toumai Robotic System. A console in the UK operated the robot in Gibraltar using ultrafast fibre-optic cables, supplemented by a backup 5G connection for resiliency. This configuration enabled Professor Dasgupta to conduct the procedure from a distance. It showcased telesurgery’s ability to deliver specialized surgical care to patients in remote or underserved locations.
The importance of this progression reaches far beyond personal claims. Professor Dasgupta emphasized the broader implications of remote surgery, stating, “I think it is very, very exciting, the humanitarian benefit is going to be significant.” He will be doing the second telesurgery procedure on March 14. This event will be live-streamed in real time to an estimated 20,000 urological surgeons worldwide.
Get ready to be inspired, because Paul Buxton’s small operation has pulled off something quite spectacular. That would revolutionize how patients in remote communities receive health care. As technology advances, remote telesurgery will certainly be a more accessible care option for any patient who needs it.

