From “European Urology” Dec., 2014: Australian study where a very experienced Open Radical Prostatectomy surgeon (over 3000 cases—certainly familiar with the anatomy) did 686 open RP’s and 866 Robotic RP’s. Examining the comparison of complications (incontinence, ED, inadequate cancer control) between the 2 types of operations, it took the surgeon 600-800 Robotic cases to match or exceed the complication rates for open RP. The message was that Robotic Prostatectomy was more appropriate for high volume surgeons and not for late career or low volume surgeons. This reiterates warnings by the American Urology Association that low volume surgeons should not quote high volume surgeons’ complication rates. It is also why the FDA is reevaluating the training protocols for the DaVinci Robot (too many complications). Since low volume surgeons typically do 1-4 cases/month, the learning curve to 600-800 cases is practically insurmountable.