The Santa Barbara company quietly removing the one variable that has always decided who gets the best surgeon: distance.
Above: the Sovato console mid-procedure - a surgical to-do list on the left, the operating room on the right, and a logo at the bottom that has now been part of the longest-distance surgery in history.
There is a screen. On the left, a checklist. On the right, an operating room that the surgeon is not standing in. Somewhere off-frame, a robotic arm waits for instructions that will travel across an ocean and arrive in a fraction of a second. The surgeon flexes a hand. Thousands of miles away, a patient's procedure begins. This is not a render or a pitch deck. This is what Sovato makes ordinary.
Sovato is a health-tech company. That description is technically true and almost entirely useless. What Sovato actually does is treat the operating room the way the internet treated the office: as something you no longer have to be physically inside to use well. The company builds the platform - software, connectivity, and a thick book of safety rules - that lets a skilled surgeon operate a robotic system from somewhere else entirely.
Here is the uncomfortable arithmetic of modern medicine. The surgeons who do a complex procedure best tend to be the ones who do it most. The ones who do it most tend to cluster in a handful of large hospitals in a handful of wealthy cities. Everyone else - rural towns, smaller countries, entire regions - gets whoever is nearby. Geography, not skill, has quietly become the deciding factor in who lives well.
You could move the patient. People have been doing that for a century, with all the cost, delay, and disruption a long trip implies. You could move the surgeon, which is slower and scales even worse. Or you could move the only thing that has ever traveled cheaply: information. The catch is that surgery is not a webpage. A few hundred milliseconds of lag is the difference between a clean stitch and a complication.
Sovato was co-founded by Cynthia Perazzo, a healthcare strategist who became CEO, and Yulun Wang, who has the unusual distinction of having helped invent this field already - twice. Wang founded Computer Motion, an early surgical-robotics company that eventually merged into Intuitive Surgical, the giant that now dominates the operating room. He then founded InTouch Health, a telemedicine pioneer acquired by Teladoc. Sovato is, in effect, his third act, and it sits exactly where his first two careers overlap: robots and remote care.
The bet was specific. Wang's team had found that surgeons can tolerate roughly 300 or more milliseconds of delay between moving a hand and seeing the result - enough headroom, if and only if you refuse to waste any of it. Most of the budget gets eaten by mundane things, like the time it takes to compress and decompress a video feed. So Sovato built a pipeline fast enough that the processing itself nearly disappears, leaving the precious milliseconds for the part nobody can negotiate with: the speed of light.
The clever decision was not to build a robot. Sovato builds the layer around them. Its platform is system-agnostic, which is a dry way of saying it aims to remote-enable almost any surgical, interventional, or diagnostic robotic system rather than locking customers into one machine. In a market where every hardware maker would happily sell you their walled garden, Sovato volunteered to be the road between gardens.
The model is hub-and-spoke. Concentrate the expertise at a hub - a leading surgeon, a center of excellence - and deliver it to spoke sites that could never staff that talent full time. Around the technology, Sovato has built the unglamorous but essential scaffolding: clinical, operational, and technical guidelines worked out with hospitals and robotics makers, covering safety, accountability, and the workflow of a care team split across two rooms and possibly two countries.
Software and connectivity that remote-enables existing surgical robots over a low-latency link.
Hub-and-spoke setups that send scarce surgical expertise to sites that lack it.
Safety, accountability, and workflow guidelines built with hospitals and OEMs.
In June 2025, a team led by Dr. Vip Patel operated from a center in Celebration, Florida, on a 67-year-old prostate-cancer patient who never left Luanda, Angola. The distance was close to 7,000 miles - reported as the longest telesurgery ever completed, run as part of a U.S.-based transcontinental clinical trial under an FDA investigational device exemption. The patient went home. The point was made.
That case did not appear from nowhere. It followed years of preclinical work and a collaboration with Virtual Incision, City of Hope, and the University of Illinois Chicago. The money has followed the milestones. Sovato's $41M Series B, which closed in November 2025, was led by Beringea and joined by an investor list that doubles as a strategic map: Polaris Partners, GS Ventures, Laerdal's Million Lives Fund, Puma Venture Capital, Teladoc Health - and Intuitive, the dominant surgical-robotics company Sovato hopes to remote-enable.
Sovato's stated mission is plain: create access to the highest-quality surgery and procedures for everyone, everywhere. It is the kind of sentence that usually means nothing, except that this company has already moved a surgeon's hands across an ocean to back it up. The business case is just as plain. Health systems get to extend a small number of excellent surgeons across many more operating rooms, which is good economics dressed as good medicine, or possibly the other way around.
A caveat the company makes itself: the platform is still under development and not yet commercially available in the U.S. This is, for once, a reassuring sentence. Surgery is not a category that rewards moving fast and breaking things. The careful pace is the product.
Picture the screen once more. The checklist on the left. The operating room on the right, somewhere far away. Only now imagine it is not a milestone, not a press release, not the longest-distance anything. Imagine it is routine - a regional patient, a top surgeon two states over, a scheduled procedure that nobody films because nobody needs to. That is the world Sovato is building toward: one where the remarkable thing about remote surgery is that it stopped being remarkable.
Distance decided too much for too long. A company of around 46 people in Santa Barbara, $41M in the bank and a third-time founder at the table, has decided to argue otherwise. The surgeon flexes a hand. The procedure begins. The ocean, for once, does not get a vote.