Robotic-assisted laparoscopic prostatectomy is one of the most common types of surgical treatments for prostate cancer, and its use in the management of localized prostate cancer has increased rapidly in recent years. The robotic approach takes advantage of the benefits of laparoscopy as well as small surgical working elements that replicate the movement of the human hand. In general, this option is associated with less blood loss, a lower chance of requiring a blood transfusion, decreased pain postoperatively and a shorter convalescence. As with radical retropubic prostatectomy, lymph nodes are removed with the prostate for pathologic staging. Patients tend to spend one to two nights in the hospital and are sent home with a urinary (Foley) catheter that stays in place for seven to 10 days. As with open surgery, this procedure should be performed by a surgeon familiar with the robot and who is trained in performing radical prostatectomy. In general, high-volume (those surgeons who perform many procedures) and fellowship surgeons tend to have better outcomes than low-volume and non-fellowship-trained surgeons.