Hazim Alkousheh, Fadel Tayseer Shereer, Ayman M Barham, Layth Baker Saleh, Yara Alkousheh, Hala Mohd Qawasmeh, Bashar M Al Zoubi, Lina Al-Zerikat, Hamza Ali Salaheen, Hamzeh Al-Balas
Robotic-assisted surgery (RAS) is increasingly used across surgical specialities. Despite global advancements, its integration in the Middle East remains limited. Patient awareness and perceptions may influence its acceptance and implementation. This study assessed awareness, perceptions, and acceptance of RAS among surgical patients at a tertiary hospital in Amman, Jordan, and assessed factors associated with preference for RAS and awareness of its availability. A cross-sectional study was conducted between November and December 2024 among patients attending outpatient surgical clinics at a tertiary hospital in Amman, Jordan. Participants completed a structured questionnaire assessing knowledge, attitudes, perceptions and future expectations toward RAS. Multinomial logistic regression was used to assess factors associated with preference for RAS and awareness of its availability in Jordan. Of 700 participants, 58.6% were female. Awareness of RAS was limited. Fewer than half (45.3%) had heard of it before, and only 14.9% knew it was available in Jordan. Overall, 24% expressed a preference for RAS if offered. In multinomial logistic regression, preference for RAS was associated with belief that it improves surgical outcomes (OR 5.97), perceived surgeon skill (OR 2.28), and awareness of local availability (OR 2.23), while female gender and safety concerns were associated with lower odds. Awareness of RAS availability in Jordan was associated with prior awareness of RAS (OR 2.21), correct knowledge of RAS precision (OR 2.82), and preference for RAS (OR 2.96). Surgical patients at a tertiary hospital in Amman, Jordan, showed limited awareness and mixed attitudes toward RAS. Perceived benefits and risk concerns were each associated with acceptance. These findings suggest that targeted educational campaigns addressing both perceived benefits and safety concerns may help improve understanding and support more informed patient decision-making about RAS.