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For the first time in New South Wales, technology normally reserved for hip and knee replacements has been used in shoulder surgery.
Sydney Adventist Hospital, also known as the San, became the first in the state to perform Mako robotic-assisted shoulder surgery.
The procedure was successfully carried out by orthopaedic surgeon Dr Marcus Chia, introducing technology already widely used in hip and knee replacements into shoulder operations.
The Mako SmartRobotics system, developed by Stryker, uses advanced 3D CT-based planning and real-time robotic guidance to support highly-accurate implant positioning while also protecting healthy bone and soft tissue.
The technology has been used in millions of hip and knee procedures around the world and is associated with improved surgical precision and better long-term outcomes for patients.
The precision of the Mako system brings better outcomes for patients
Dr Chia said extending the technology to shoulder surgery represented an important step forward in improving surgical precision, as well as safety and quality of life for patients.
"Robotic-assisted shoulder surgery may offer improved joint stability, function and range of motion, along with reduced postoperative pain and faster recovery," he said.
"This technology allows for a highly-personalised approach to surgery, supporting better outcomes and helping patients return to their everyday activities with greater confidence.
"The milestone reflects the San's ongoing commitment to investing in advanced surgical technologies, ensuring the local community has access to world-class, minimally invasive orthopaedic care close to home."
The breakthrough procedure follows several innovations at New South Wales' largest private hospital in 2026, including the opening of a highly-advanced neurosurgery theatre and investment in imaging technology that reduces radiation exposure.
Read more: San opens Australia's 'most advanced' neurosurgery theatre
Read more: New imaging arm reduces radiation exposure
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