In this article, the authors review the current and emerging role of robotic-assisted surgery in vascular surgery. They describe the evolution of surgical robotic systems and summarize evidence on robotic procedures such as aortoiliac reconstruction, internal thoracic artery (ITA) harvesting, heart transplantation, renal vein transposition, and inferior vena cava interventions. While early results demonstrate technical feasibility, improved precision, and reduced recovery times, limitations persist, including high costs, lack of vascular-specific instruments, and the absence of formal training programs. The authors emphasize the need for dedicated curricula, specialized tools, and collaborative innovation to advance robotic vascular surgery.