Robotic cardiac surgery does not require opening the patient’s chest cavity, leaving much less trauma and pain to the patient than traditional surgery, and recovery is also fast, representing the development direction of minimally invasive cardiovascular surgery. The following robotic cardiac surgeries are routinely performed: 1) non-extracorporeal circulation coronary artery bypass grafting, including three types of procedures: (1) robotic unilateral or bilateral internal mammary artery free and simultaneous small incision minimally invasive non-stop coronary artery bypass grafting (Endo A-CAB ). (2) Fully robotic non-stop coronary artery bypass grafting (BH-TECAB). (3) For patients with a combined limited stenosis of the gyral branch or the right coronary, stenting is performed in a separate station after undergoing one of the above two procedures (“hybrid” procedure). In the case of Endo A-CAB, a small incision of about 6 cm in length is made in the fourth intercostal space of the left chest wall, and the anastomosis of the internal mammary artery and the anterior descending and diagonal branches is performed under direct vision and heartbeat; in the case of BH-TECAB, the anastomosis of the internal mammary artery and the anterior descending branches is performed under full robotic control without a small incision in the chest wall. This is the highest level of minimally invasive surgery for coronary artery disease. It combines the advantages of minimally invasive surgery and stenting, resulting in the least invasive treatment and the best outcome for patients. 2, mitral valvuloplasty or replacement surgery: without opening the chest, mitral valvuloplasty or replacement can be done through four small holes of 1cm in diameter plus a working hole of about 1.5cm. Due to the tenfold magnification of the surgical field, the valve structure is clearly and intuitively explored. 3, Left or right atrial tumor resection: As with mitral valve replacement, the right chest wall can be perforated to complete the resection of intracardiac tumors. 4.Atrial septal defect repair: It is the most performed fully robotic precordial correction surgery. The advantages of this method are: there is no need to open the chest medially, only four small holes of about 1cm long are needed to complete the operation; there is no need to block the ascending aorta, the heart does not need to be ischemic, and the operation time is short. 5.Ventricular septal defect repair: It is the first operation in the world performed by da Vinci robotic system in our hospital, which further expands the indications for fully robotic cardiac surgery. The trauma is very light and the efficacy is satisfactory. 6.Pericardial window surgery: Some patients have recurrent and persistent pericardial effusion or even delayed pericardial tamponade for various reasons, and the application of the robot system can drain the pericardium only through three small holes in the chest wall without opening the chest. 7.Benign tumor resection of pericardium and mediastinum: In the past, this kind of surgery requires median open chest and longitudinal sawing of sternum to complete, which is more traumatic. The application of robotic system can greatly reduce the surgical trauma and achieve the same therapeutic effect. In addition to the above surgical procedures, the PLA General Hospital has also completed procedures including intraoperative tricuspid valvuloplasty, partial pulmonary vein ectopic connection correction, and will soon carry out minimally invasive surgical treatment of atrial fibrillation, synchronous pacing for heart failure and other robotic surgical treatment.