The majority of surgeries that are performed to help enhance or assist male fertility patients are performed with magnification of microscopic anatomical structures. This requires a high level of meticulous microsurgical expertise with flawless techniques to optimize the patient’s outcomes and give couples the highest odds of pregnancy. Reproductive urologists that are fellowship trained in reproductive surgery beyond general urology training have been proven to offer the best surgical outcomes. Dr. Parviz Kavoussi performs such highly technically demanding microsurgeries week in and week out. Some of these surgical procedures have further progressed to include the application of a robotic platform to assist with these delicate, minimally invasive procedures. As an established leader in robotic microsurgery with one of the highest volume robotic microsurgery practices anywhere in the world, Dr. Kavoussi was recruited to write a textbook chapter on robotic microsurgery in the textbook of Principles and Practice of Robot Surgery. Dr. Kavoussi states, “It is critical to continue to apply cutting edge technology to medical and surgical practice to improve outcomes and to offer more comfortable platforms for the operating surgeon for specific procedures that are amenable to robotics.” For such procedures adding the precision of a machine to the expertise of a skilled microsurgeon will offer patients excellent outcomes.