The common approach for coronary artery bypass grafting is median open-heart and extracorporeal circulation. Although there is a good surgical view and a quiet, bloodless surgical site, the procedure is highly invasive, which affects the patient’s recovery, and there is a risk of serious incisional complications. Robotic non-external circulation coronary artery bypass grafting emerged to avoid the complications of sternotomy and extracorporeal circulation and to free the internal mammary artery without a chest incision and to enable fully robotic bypass. The desire to treat multiple vascular lesions with minimal trauma has been realized.