While robotic endoluminal surgery has many clear advantages, a key goal and a considerable challenge has been the ability to access a target location in the body with all the surgical instruments necessary to perform a procedure. For example, as seen with intraluminal surgery, endoscopists may use a colonoscope or an esophagogastroduodenoscopy (EGD) scope to perform therapeutic interventions, but treatment can be limited due to available technology that requires them to perform procedures using only one very specialized instrument at a time. Read on.