The main challenge with remote telesurgery is what do you do when connection goes down in the middle of surgery. You need someone onsite competent enough to continue where remote surgeon stopped due to loss of connectivity.<p>We explored similar issues 20+ years ago in manufacturing with remote intercontinental control of facility when a large portion of local workforce goes on summer vacation. In the end, we needed to send a group of skeleton crew from US that was self-sufficient to operate the facility if we lost remote connectivity to the facility.