Defense Advanced Research Projects Agency (DARPA)
The Defense Advanced Research Projects Agency (DARPA) is running a prize competition to identify a state of the art for trauma surgical robotics. This system must be capable of safely completing specified procedures, collaboratively assisting with open trauma surgery, and rapidly learning new skills.

Overview
The DARPA Surgical Competition (DSC) identifies technologies that can perform autonomous trauma surgery. The vision of DSC is to maximize battlefield survival despite overwhelming casualty volumes by increasing surgical capacity at manufacturing scale. The primary objective is to determine if State-of-the-Art (SOTA) technologies can deliver autonomous trauma surgery or better define the essential technical challenges for doing so. Ultimately, the system must safely, and effectively complete surgeries independently and collaboratively assist human surgeons with complex cases while rapidly learning new capabilities and gaining human trust to complete surgical procedures.
Competing teams will be provided Government Furnished Information (GFI) in the form of strictly de-indexed, low risk (such as cadaveric or animal) datasets of relevant trauma surgery procedures to train autonomous robotic capabilities to provide surgical care. This eliminates privacy friction and maximizes innovation and speed, while maintaining ethical stewardship and strict terms against downstream data reconstruction. The trials will initially assess the key components required for robotic surgical assistance, focusing on a platform’s ability to communicate surgical knowledge, rapidly learn new skills, and safely interact with medical instruments and soft tissue. Upon successfully passing these component gates, platforms will be evaluated on both their collaborative and independent surgical capabilities—two operational configurations that any human surgeon masters before being trusted and credentialed to perform surgeries without supervision on humans.
Evaluation will be conducted by technical personnel experienced in performing trauma surgery, operating surgical robotic platforms, and developing novel autonomous solutions. Ten competitors will be selected based on qualified submissions to participate in the DSC and compete for prizes.
A total prize pool of $3.5M is available for awards to top-performing competitors.
Benefits of Participating
in total cash prizes

Eligibility
Registration Eligibility
The DARPA Surgical Competition (DSC) is open to individuals and team members of all nationalities and of all ages with the following exceptions:
Award Eligibility
Disqualifications
You may be disqualified from the Competition and forfeit any prizes you may be eligible to receive if DARPA reasonably believes that you have attempted to undermine the legitimate operation of the Competition, including:
a. Violates the rights of a third party
b. Is lewd, obscene, pornographic, racist, sexist, or otherwise inappropriate to the Challenge; or
c. Violates any applicable law
d. Violates the U.S. Department of War Social Media User Agreement at https://www.dodig.mil/Disclaimers/Social-Media-User-Agreement/ (the "Agreement"). Using discussion forums connected with the Challenge constitutes your agreement to comply with the Agreement.ing:
* For complete details regarding eligibility, competition rules, and official Terms & Conditions, please visit the official DARPA Competition Website
Problem Statement
Currently, trauma surgical care operates without the integration of robotics or autonomous systems. Effective surgical assistance traditionally requires years of specialized fellowship training; however, during Large Scale Combat Operations and the heightened probability of Mass Casualty Incidents, the Military Health System is understrength and unable to scale to meet the critical demand for care. Consequently, surgical assistance may necessarily come from unskilled and unverified human resources. To address this profound medical capacity shortfall, the DARPA Surgical Competition (DSC) seeks to identify emerging technologies and develop advanced capabilities for autonomous robotic trauma surgery and surgical assistance. The DSC aims to establish a practically "limitless" capacity by developing manufactured autonomous systems that can be rapidly and seamlessly integrated into human surgical teams.
Timeline
Initial Submission Requirements
To qualify teams must complete a set of qualification tasks and submit a narrative description of their approach. Submissions will be reviewed for validity. Qualifying competitors will be notified within 10 business days after the qualification deadline.
It is anticipated that up to 10 teams may successfully qualify for the Competition. Qualifications for the Challenge will be on a “rolling” basis where materials submitted during the open qualification window will be assessed as they are received and DARPA will select up to 10 teams that qualify. DARPA will review all the materials submitted by the Qualification deadline before finalizing the number of qualified teams for the event.
Required submission packet must include:
Narrative Description
DARPA will use the narrative description to evaluate the team’s overall approach and potentially inform additional follow-up questions and/or tasks. Please submit a PDF format document. The narrative description must include the following sections:
Part 1: Team Information
Part 2: Technical Approach (500 words max per subsection, images encouraged)
For each element of the Technical Approach below, DARPA will assess whether the plan is consistent with the rules and can safely and successfully compete in the DARPA Surgical Competition.
Experience:
Robotic System
End-Effector(s)
Perception / Sensing
Teleoperation
Autonomy
Compute
Positioning & Safety Plan
CIDR Block Information
Demonstration videos
The demonstration videos must include at least the qualification tasks listed in Section 4.2.2 but may also include additional videos that the teams feel will support their submission. DARPA may choose to request additional demonstration videos, a follow-up teleconference, or in-person visit to a team’s site. Teams should be prepared for possible visits, if needed. Only materials received by the qualification deadline will be considered.
Any significant changes in technical approach after initial qualification must be disclosed to DARPA and approved in advance of each event. Examples of significant changes could include different robotic hardware, end-effector hardware, and/or system design. DARPA may require additional demonstrations and/or safety inspections before a new system type may be used in a competition event.
All qualification materials must be submitted via the DARPA Surgical Challenge Team Portal. The narrative description should include links to any videos that are intended to be included as part of the submission.
All videos should be posted to YouTube with the privacy setting set to “Unlisted.” Narration of the videos is allowed.
Robotic Tasks
Robotic Motion
Teams must provide video evidence of their proposed robotic system demonstrating safe motion. Teams must also demonstrate evidence of their proposed end-effectors similarly safely operating. Systems and end-effectors may either be teleoperated or moved through autonomous control. End-effectors are not required to be fully integrated with the robotic platforms at the time of qualifications; however, an integration plan must be included in the qualification narrative.
Emergency stop
Teams must demonstrate emergency stop capability for all robotic systems. All systems participating in the Surgical Challenge must utilize an on-board hardware emergency stop or prove they can otherwise stop all robotic motion with a hardware kill switch.
Surgical Capability
Teams must demonstrate the ability for their robotic system to perform three skills off the following list of surgical capabilities:
Simulated tissue for the video demonstrations may be low-fidelity and conducted on plastic, rubber, silicone, or similar simulated stand-in’s for tissue (e.g., plastic tubing to simulate vessels, rubber mats to simulate skin, foam or chicken to simulate soft-tissue). The goal is to demonstrate the robotic motion capabilities necessary for these surgical skills. Demonstrations may be teleoperated or autonomous.
For any special-case considerations, teams may send inquiries to:
SurgicalCompetition@darpa.mil.
Competition Assessments
The DARPA Surgical Competition seeks to identify emerging technologies and accelerate the development of autonomous surgical robots capable of teaming with human surgeons and operating independently under trauma conditions. The ultimate program objective is to field a robotic trauma surgeon that performs surgical procedures at a level equivalent to a human specialist—safely collaborating, rapidly acquiring new clinical skills, and earning the human trust required for autonomous intervention.
To evaluate these emerging technologies, the DSC is structured into a progressive testing framework consisting of two primary phases: Component-Level Testing (Gates 1–3) and Surgical Procedure Testing (Lanes 1–2). Unlike traditional automation benchmarks, the DSC evaluation framework bridges the gap between purely technical metrics and human clinical standards. Every system will be measured against three primary pillars: efficacy, efficiency, & safety. All surgical assessments will be conducted on surgical phantoms & trainers.
Before progressing to integrated procedural testing, candidate platforms must prove their foundational capabilities across three critical areas: cognitive medical knowledge, physical surgical skills, and real-time adaptability.
Component Gate 1: Medical Knowledge
To demonstrate a cognitive understanding of the operating room environment, platforms must undergo a simulated "Oral Boards" examination conducted by a proctor surgeon. The proctor surgeon will present the platform with visual and spatial queries to evaluate its environmental, anatomical awareness, and the robot's ability to plan and anticipate surgical workflows. To pass this gate, system autonomy is required; teleoperation is not allowed. Systems are allowed only a single attempt for these assessments.
1A. Recognition:
1B. Procedure Step Understanding:

Component Gate 2: Physical Capability
The Physical Capability gate transitions the platform from cognitive processing to physical interaction with surgical simulators and physical assets. Platforms are tasked with executing foundational surgical actions (primitives) across three categories: strength, tension, & dexterity. The gate will also evaluate the system’s ability to promptly adhere to safety protocols and human override commands. This gate may be executed autonomously or with teleoperation; fully autonomous task completion scores more points.
2A. Surgical Skills: Platforms are tasked with executing foundational surgical actions (primitives) across three categories. The goal is to demonstrate the robotic system’s ability to complete the surgical task without surgeon assistance.
Minimum Requirements: Teams must demonstrate their system’s ability to complete one surgical skill task in each of the three categories: strength, tension, dexterity. Teams must complete the surgical skills in the allotted time constraint.
2B: Safety Commands: A critical element of clinical trust is a system's adherence to safety protocols and human override commands. The goal is to assess platforms’ abilities to rapidly and safely initiate all responses to an audible safety command without causing injury to the simulated patient or human surgeon. Goal targets would be human-level of timely response.
Minimum Requirements: Teams must demonstrate their system’s ability to safely and correctly respond to the audible stop command and freeze action in less than 2 seconds. Additionally, teams must safely and correctly respond to commands to move out o the surgical space without damage to tissue.

Component Gate 3: Rapid Learning
Rapid learning is a core component of trauma surgery proficiency. To assess adaptation, the platform will be presented with a completely novel, undisclosed surgical skill. Teams are granted a limited time window to train the robot using any preferred training methodology. To pass and score (goal), the platform must demonstrate mastery by executing the new skill successfully across three consecutive attempts within the time limit.
Note: Successfully passing this gate is not required to participate in Lanes 1 and 2.
Minimum Requirements: Teams must demonstrate mastery of a new observed skill within assessment time limits.

Full Procedure Surgical Lanes:
Platforms that successfully pass threshold requirements in the component gates proceed to integrated, full-scenario testing. These lanes evaluate a platform's capacity to handle dynamic, continuous trauma surgery. To be eligible for prize awards in the Surgical Collaboration (Lane 1) or Surgical Independence (Lane 2) teams must meet minimum requirements defined for each lane.
Lane 1: Surgical Collaboration
In this lane, a human surgeon leads a trauma surgery with the robotic platform participating as an interactive assistant. The procedure contains key points where the lead surgeon issues verbal commands or physical requests to the robot. The system is evaluated on its response to each of these tasks (individual surgical steps/skills). Teleoperation of whole or partial tasks is acceptable; however, scoring incentivizes autonomy.
Minimum Requirements: Teams must successfully complete 50% of the commanded tasks. At least one (1) of the successfully completed tasks must have been autonomous.

Lane 2: Surgical Independence
This assessment lane requires the robot to act as the primary surgeon. A simulated trauma patient is presented in the operating room. The platform must independently evaluate the patient, formulate a diagnostic assessment, establish an operative plan, and execute the complete trauma procedure. The system is evaluated against essential (key) sub-task outcomes (results from portions of a procedure when it is required to understand and execute the correct surgical step) throughout the trauma surgery. Surgical decision making should be autonomous, however a human may confirm or correct the systems decision about the planned procedure or step before the system executes (full credit for autonomous correct and executed decision, partial credit or human confirmation prior to execution, and no credit for human correction of decision). Teleoperation of each physical surgical step/skill is acceptable; however, scoring incentives autonomy.
Minimum Requirements: Teams must successfully complete 50% of the identified necessary surgical tasks for the procedure. At least one (1) of the successfully completed tasks must have been autonomous.

Technical Requirements
This section outlines the core technical specifications and constraints for systems participating in the DARPA Surgical Competition. To ensure fair assessment, safety, and logistical feasibility, all participating teams must adhere strictly to the requirements detailed below.
1. System Design
2. Size
3. Power
4. Networking & Compute
5. Security & Foreign Origin Compliance
No systems, subsystems, software, or components developed, manufactured, or serviced by entities on the DoD Section 1260H List of Chinese Military Companies are eligible for integration or participation. Competitors must formally certify compliance with these parameters prior to arrival. Failure to pass this supply chain audit shall result in immediate disqualification and prize forfeiture.
6. Insurance
7. Establishment in Operating Room
Terms and Conditions
Ownership, Rights in Your Submissions, Sharing
Government Furnished Information (GFI)
DAPRA is partnering with the MIT Lincoln Laboratory (MIT-LL) to host Government Furnished Information in the form of surgical datasets to be provided to qualified competitors via the AGENT RAPIDS data repository.
The AGENT RAPIDS site is an Impact Level 4 (IL4) environment hosted on AWS Gov Cloud. Due to the Lab’s security posture and the nature of the data on AGENT, we need a sponsoring agency to identify organizations that need access. We then need organizational-level IP addresses (CIDR blocks) to whitelist traffic from those organizations.
Organizations with static IP addresses can get their information from the following links:
We will need to coordinate directly with the organization’s IT personnel if the organization uses dynamically allocated IP addresses.
IT personnel should be able to assist if people have issues with the instructions above.
Please note that it takes our security personal about 2 weeks to approve a whitelist request once it is received.
By registering for this competition and accessing the provided data, Competitors agree to be bound by the following strict terms governing the use, protection, and operational boundaries of GFI.
1. For the strict purposes of this Competition, GFI is defined as curated, non-operational physiological and structural datasets jointly owned by DARPA and the Uniformed Services University (USU), exclusively for research purposes, and derived exclusively from animal or de-identified cadaveric models. The GFI provided has been rigorously scrubbed and structurally de-identified and de-indexed to ensure the absolute absence of any Personally Identifiable Information (PII) or Protected Health Information (PHI). It is provided “as-is” solely as an innovation catalyst for the parameters of this competition.
2. Competitors operate as temporary, secure stewards of the GFI. While the data is inherently low-risk, maintaining its integrity is mandatory. Competitors are expressly bound to:
3. The authorization to download, process, and analyze GFI is a limited, non-transferable, and revocable privilege. Competitors agree that:
Competitors are strictly prohibited from retaining, commercializing, or repurposing GFI to train external algorithms, develop parallel commercial products, or conduct secondary research outside the explicit scope of this competition.
4. Competitors must unconditionally respect the de-identified status of the GFI. By accessing it, Competitors commit to the following absolute prohibitions:
Commingling for interference by merging, combining, or cross-referencing the GFI with external databases (public or private) in any manner that creates risk of tracing or inferring identity or reconstructing restricted metadata is strictly prohibited.
Organizational Conflicts of Interest
DARPA is committed to ensuring fairness to all competitor teams. To avoid organizational conflicts of interest (OCI)1 or the appearance of OCI, all D2C competitor teams with access to relevant data collected for the D2C must submit an OCI mitigation plan2. DARPA will review all OCI mitigation plans. DARPA has sole discretion to determine whether an OCI mitigation plan is sufficient to avoid, neutralize, or mitigate an OCI. DARPA may disqualify competitors with an OCI.
1.OCI definition
An “OCI” means that because of other activities or relationships with other persons, a person is unable or potentially unable to render impartial assistance or advice to the Government, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or a person has an unfair competitive advantage. The three types of OCIs are biased ground rules, unequal access to information, and impaired objectivity.
2. OCI mitigation plan
In the case of an OCI or the appearance of an OCI, an OCI mitigation plan must be submitted to demonstrate
1. measures to firewall individuals in the organization(s) in questions; and
2. measures to firewall DSC data from the individuals who would participate in the DSC competitions. DARPA will evaluate the adequacy of these measures to determine if the proposed measures sufficiently avoid, neutralize, or mitigate the OCI. An OCI mitigation plan that does not avoid, neutralize, or mitigate an OCI may result in disqualification from the competition. DARPA has sole discretion to disqualify any competitors.
Additional Information
Questions regarding rules should be sent to SurgicalCompetition@darpa.mil
DARPA may modify the rules in writing at any time and for any reason, including the accommodation of a promising technical approach that would have been excluded by the rules.
DARPA unilaterally reserves the right to cancel or modify the Competition at its sole discretion. All participants in the competitions of this Competition shall sign, as part of the registration process, the Event Participation Agreements.
Disputes
Participation constitutes each Participant's full and unconditional agreement to these Official Rules and Terms and Conditions, which are final and binding in all matters related to the Competition. The final scores and determinations are final and binding on all Participants. The final scores of the Judging Panel and the final determination of all Winners may not be challenged by the Participants.
* For complete details regarding eligibility, competition rules, and official Terms & Conditions, please visit the official DARPA Competition Website
Background Information
About the Defense Advanced Research Projects Agency (DARPA)
The Defense Advanced Research Projects Agency (DARPA) is an independent research and development agency within the U.S. Department of War (DoW). Created in response to the launch of Sputnik in 1957, DARPA stands as the nation’s commitment to never again face a strategic technical surprise. Working with innovators inside and outside government, the agency has delivered on its mission many times over – transforming the seemingly impossible into world-changing defense and national security capabilities. Often, DARPA innovations also become fixtures of modern civilian life. Unlike other agencies, DARPA is not satisfied with incremental advances. It pushes transformational breakthroughs – innovations that not only solve current challenges but also establish the U.S. as the leading driver of strategic technological invention.
About Naval Air Warfare Center Training Systems Division (NAWCTSD)
The Naval Air Warfare Center Training Systems Division (NAWCTSD) is the principal Navy center for research, development, test and evaluation, acquisition, and product support of training systems. NAWCTSD provides inter-service coordination, and training systems support for the Army, Marine Corps, and Air Force. NAWCTSD is a foundational member of Team Orlando, a unique collaborative with training and simulation divisions of the Army, Marine Corps, Air Force, and Space Force, as well as academia and key supporting economic development organizations. www.navair.navy.mil/nawctsd
About the Central Florida Tech Grove
The Central Florida Tech Grove is a Department of Defense innovation hub established in 2020 under a Partnership Intermediary Agreement between the Naval Air Warfare Center Training Systems Division and the University of Central Florida Research Foundation. The Tech Grove was founded as a multi-service innovation hub with funding from the Navy, Army, Air Force, and Marine Corps training commands as well as the Office of Naval Research and the Office of the Secretary of Defense. With a three-pronged mission to (1) grow the defense industry base, (2) facilitate technology transfer and transition, and (3) solve problems, the Tech Grove executes a wide range of initiatives that bring together entrepreneurs, industry, academia, and government from across the United States and internationally to develop innovative solutions for military human performance. www.centralfloridatechgrove.org
Additional Links & Resources
* For complete details regarding eligibility, competition rules, and official Terms & Conditions, please visit the official DARPA Competition Website
For Rules and Technical Prize Challenge Questions please contact the DARPA Surgical Challenge team at: SurgicalCompetition@darpa.mil
For all other Questions please reach out to the Central Florida Tech Grove Team at TechGrove@UCF.edu
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