On the morning of September 22, 2009, our robotic cardiac surgery team successfully completed the world’s first “fully robotic minimally invasive open-heart ventricular septal defect repair surgery”. The patient went to the PLA General Hospital a week ago with symptoms of chest tightness and shortness of breath after activity, and was examined by heart ultrasound for a “ventricular septal defect”. After a rigorous preoperative examination, we decided to perform a fully robotic surgery on the patient. This surgery does not require a median chest opening, but only 3-4 small holes with a diameter of about 1 cm are cut in the lateral chest wall, and the robot arm is operated by a remote-controlled robotic surgery system to complete direct cardiac surgery under extracorporeal circulation in the small holes cut. The patient was able to walk independently on the first day after the operation. The first fully robotic cardiac surgery was performed in 2007, and the first robotic cardiac surgery team was established in China.