Among the oldest medical skills, surgery is now experiencing its most fundamental change to date. The classic image of the surgeon dependent only on manual dexterity and direct line of sight is disappearing and giving way to a new paradigm whereby robotics enhances human experience, Augmented Reality (AR) lights it, and the predictive ability of Artificial Intelligence (IA) leads it. With next-generation surgery, this development promises unparalleled accuracy, little invasiveness, and customized patient care. Leading this uprising are not only small developments in technology but also whole new conceptual approaches for intervention, including the fledgling field of fractal geometric surgery. From impossible prices and ethical issues to the basic problem of incorporating these complex systems into clinical practice, this technologically advanced frontier presents its own set of great obstacles.