Program Outline

Foregut Session 1
Bariatric Session 1
New Technology Session (Non CME)
Potpourri Session
Colorectal Session 1
Acute Care Session 1

Join us for an exclusive session on the past, present, and future of military healthcare. This isn`t just a meeting; it`s a deep dive into the innovations shaping the future of surgical care for our service members, veterans, and their families.  Our session includes cutting-edge research to explore novel techniques in battlefield medicine, quality improvement programs, and the latest in surgical education. We will also feature lessons from the front lines to gain critical insights from the ongoing conflict in Ukraine to better prepare for future challenges. Lastly, attendees can learn how artificial intelligence and machine learning are revolutionizing surgical practice and research. This is your chance to connect with experts and gain invaluable insights into the unique medical challenges facing military professionals today. We are incredibly grateful for the ongoing relationship that SAGES provides to its military members and in support of this session. Don`t miss out on this unique opportunity to contribute to the continuous improvement of surgical care for those who serve.

At the conclusion of this session, attendees will be able to:

• Articulate and prioritize clinical currency for military surgeons-in-training, attendings, and international military physicians.
• Prepare for future large-scale combat operations (LSCO) military conflicts through lessons learned from research at military treatment facilities.
• Uncover the latest advancements in artificial intelligence, new technologies in warfare, and space medicine and their potential to revolutionize military medical capabilities.

8:00 AM – Introduction

8:30 AM – Research Presentations

9:30 AM – Break

9:45 AM – Research Presentations 

11:15 AM – UPDATES: Army Navy and AF Consultants, and from the ACS Excelsior Governor

11:30 AM – Awards Presentations

12:00 PM – Lunch

1:30 PM – Expert Panel: Modern Warfare and Military Medicine, Incorporating Artificial Intelligence

2:40 PM – Break

Designed for all surgical educators at heart – this session will provide the educational foundation to assess and incorporate simulation into surgical training. It will examine simulators across the technological and monetary spectrum especially with regards to strengths and limitations in real-world training environments. This session will also highlight the challenges of maintenance and long-term usability, especially in resource-constrained environments.

At the conclusion of this session, attendees will be able to:

• Use simulation to teach and train adult learners.
• Describe the fundamentals of surgical simulation.
• Identify simulation resources for competency-based training and assessment.

10:00 AM – Yes, Innovative Low Cost Simulators Can Reliably Bridge the Training Gap While Balancing Cost and Quality

10:13 AM – No, High Fidelity Simulators are Needed in Global Surgery to Acquire Mastery of Complex Procedures After Initial Training on Low Cost Simulators

10:26 AM – Building a Comprehensive Simulation Based Surgical Training Pathway to Build Capacity, Competency and Proficiency – What Works in the Real World

10:39 AM – Creating a Pre-trained Novice – Acquiring Mastery of Simulation Based Skills as a Prerequisite to OR Involvement

10:52 AM – Q&A

This session will review indications for revisional bariatric surgery, techniques, options, and pitfalls. We will also discuss when to perform bariatric surgery and what options we have to offer our patients.

At the conclusion of this session, attendees will be able to:

• Formulate a therapeutic plan for patients who have failed initial bariatric surgery.
• Compare different surgical options to offer bariatric revisions.
• Differentiate surgical and non surgical outcomes when discussing bariatric revisions.

10:00 AM – Bariatric Revision: Indications and Workup

10:18 AM – Bariatric Revision: Disparities in Access and Outcomes

10:36 AM – Bariatric Revision: Sleeve to Gastric Bypass vs Duodenal Switch/SADI

10:54 AM – Bariatric Revision: TORE and/or Distalization of Jejunojejunostomy

11:12 AM – Bariatric Revision: Reversing Gastric Bypass

11:30 AM – Bariatric Revision: Role of GLP-1RAs – Concomitant or Alternative Use?

11:48 AM – Q&A

This dynamic session explores cutting-edge approaches transforming rectal cancer care, from personalized TNT protocols to organ preservation strategies, ctDNA integration and ICG-guided surgery. Colorectal surgeons, surgical oncologists, and multidisciplinary team members will gain practical frameworks for implementing evidence-based techniques that optimize oncologic outcomes while preserving quality of life in the era of precision medicine.

At the conclusion of this session, attendees will be able to:

• Evaluate clinical, endoscopic, and MRI response criteria following total neoadjuvant therapy to select appropriate candidates for organ preservation versus surgical resection, integrating ctDNA results into shared decision-making algorithms.
• Construct risk-stratified surveillance protocols for watch-and-wait patients that incorporate endoscopic assessment, MRI imaging cadence, and emerging ctDNA monitoring to optimize early detection of regrowth requiring salvage intervention.
• Implement standardized ICG fluorescence protocols to assess anastomotic perfusion and identify high-risk situations for anastomotic leak in low pelvic reconstructions, incorporating quantitative assessment tools into leak-prevention bundles.

10:00 AM – The Evolving Landscape of Rectal Cancer

10:03 AM – MMR Deficiency & Immunotherapy Revolution

10:15 AM – TNT Personalization and Patient-Centered Decision Making in the TNT Era

10:27 AM – Watch-and-Wait 2025: Selection, Surveillance, Salvage

10:39 AM – ICG-Guided Surgery, Robotic vs Lap & Leak Prevention Strategies

10:51 AM – Q&A

The goal of this session is to evaluate the minimally invasive approaches to peritoneal dialysis. We will cover straight forward techniques including pearls to prevent future issues. We will also evaluate techniques for complex patients including those with obesity, hostile abdomens and ostomies as well as concomitant operations.

At the conclusion of this session, attendees will be able to:

• Learn how to insert peritoneal dialysis catheters minimally invasively.
• Formulate alternate techniques for hostile abdomens.
• Manage issues of catheter migration or occlusion and mitigate these issues.

10:00 AM – Peritoneal Dialysis Introduction

10:03 AM – Laparoscopic Peritoneal Dialysis Catheter Insertion: Selection and Placement

10:13 AM – Using Extended and Pre-Sternal Catheters for Obesity and Patients with Otomies

10:21 AM – Peritoneal Dialysis Catheter Placement as a Concomitant Operation

10:29 AM – Peritoneal Dialysis in Children and Adolescents

10:37 AM – Evaluation and Management of Peritoneal Dialysis Catheter Dysfunction

10:45 AM – Q&A

Ventral Hernia Session
Global Surgery Session

This is an interactive session focused on treating females with abdominal wall and soft tissue pathology. We will understand the current approaches and outcomes for females undergoing hernia repair, discuss specific abdominal wall issues (DIEP/TRAM site hernias, diastasis recti) and provide recommendations for treating this patient population. Target audience: general surgeon, hernia specialists, plastic surgeons, trainees.

At the conclusion of this session, attendees will be able to:

• Distinguish the differences between approaches and outcomes for females and males undergoing ventral hernia repair.
• Choose the most appropriate approach for treating diastasis recti and hernias after DIEP/TRAM.
• Implement a more comprehensive approach to managing females with abdominal wall pathology.

11:00 AM – How Are We Doing? Outcomes for Females Undergoing Hernia Repair

11:10 AM – Q&A 

11:15 AM – When and How to Combine Plastic Surgery Techniques to Hernia Repair

11:25 AM – Q&A      

11:30 AM – Diastasis Recti Repair: What Are the Options and How Do I Choose

11:40 AM – Q&A

11:45 AM – Repairing Hernias After DIEP/TRAM

11:55 AM – Q&A

This interactive session reviews practical decision-making in complex gallbladder cases, from timing of surgery and patient selection to intraoperative challenges and bailout strategies. Surgeons, fellows, and residents seeking to refine their management of difficult cholecystectomies will benefit from expert perspectives and case-based discussions.

At the conclusion of this session, attendees will be able to:

• Evaluate appropriate timing and patient selection for gallbladder surgery, including when to operate, defer, or consider alternative interventions.
• Apply evidence-based strategies to manage intraoperative challenges such as unclear anatomy, difficult dissection, or suspected Mirizzi`s syndrome.
• Develop decision-making skills to determine when to proceed, convert, or refer in complex gallbladder cases to optimize patient safety and outcomes.

11:00 AM – Session Overview and Introduction

11:02 AM – Acute Cholecystitis: Now or Later – To Take Out or to Cool Off?

11:12 AM – Is This Patient Well Enough for Surgery? When Do I Perc? 

11:22 AM – Do We Call Our Endoscopist for Endoscopic Drainage?

11:32 AM – This is Nasty, Should I Bail or Convert?

11:42 AM – Is This a Mirrizzi`s I Should Send to a Friend?

11:52 AM – Case Discussion

This session explores the diagnosis, work up, and treatment options for the common problem of postoperative dysphagia after antireflux and achalasia surgery. We will also hear about this postoperative experience from a patient`s perspective. Attendees from residents to experienced surgeons will gain insight from this session as to how to better recognize and treat patients with this inevitable postoperative problem.

At the conclusion of this session, attendees will be able to:

• Recognize patients who are experiencing more than the expected post-operative dysphagia after Foregut surgery.
• Interpret studies to evaluate dysphagia after Foregut surgery in order to better plan therapeutic interventions.
• Construct a work up and treatment plan for a patient with persistent dysphagia after Foregut surgery, avoiding pitfalls of reoperative surgery.

1:30 PM – Introduction

1:35 PM – Interpretation of Esophageal Motility in the Postoperative Patient

1:43 PM – Early Postoperative Dysphagia After Anti-Reflux Surgery: When and How to Work It Up

1:51 PM – Persistent Postoperative Dysphagia After Anti-Reflux Surgery: What`s Your Differential?

1:59 PM – Recurrent Paraesophageal Hernias: When to Re-operate, How to Optimize Patients, and Pearls of Reoperation

2:07 PM – Dysphagia After Heller or POEM: What`s Your Differential? 

2:15 PM – Patient Experience with Dysphagia After Foregut Surgery: Presentation and Questions

2:35 PM – Q&A

Surgeons today must navigate more than the OR—they must also understand the financial and organizational forces shaping their practice. This session breaks down the essentials of healthcare business, from decoding financial jargon and practice models to mastering ROI, contribution margin, and business plans. With real-world insights from academic, community, and system leaders, you`ll learn how to speak the language of administrators, demonstrate your value, and connect your purpose as a surgeon to the mission and sustainability of your organization. This session blends focused didactics with audience-driven problem-solving. In the first hour, faculty will present concise, practical talks on core business principles every surgeon should know. The final 30 minutes will bring these lessons to life: participants will vote on real-world business scenarios, and panelists will work through selected cases step by step, modeling how to apply the principles in negotiations, planning, and leadership conversations. This highly interactive format ensures that attendees walk away with tools they can use immediately in their own practice settings.

At the conclusion of this session, attendees will be able to:

• Classify different healthcare practice settings and distinguish their financial priorities to understand how these structures impact surgical practice and decision making.
• Assess key financial terms and develop practical tools such as ROI analyses, business plans, and P&L statements to evaluate new opportunities and advancement.
• Demonstrate how to articulate organizational value and recommend strategies for negotiation and leadership using real-world scenarios.
• Engage in interactive problem-solving by working through audience-selected business prompts and integrating didactic principles into practical solutions.

1:30 PM – Welcome to Surgery Inc: Why Surgeons Must Speak the Language of Business

1:33 PM – Know Your Playing Field: Practice Models and Their Financial Realities

1:42 PM – Cutting Through the Jargon: Financial `Word Salad` Demystified

1:51 PM – Boosting Your Bottom Line: Practical Strategies to Improve Contribution Margin 

2:00 PM – Making the Case: ROI That Resonates with Leadership

2:09 PM – Blueprint for Success: The ABCs of a Surgical Business Plan, Reading a P&L and Talking with Your Leadership

2:21 PM – Claiming Your Value: How Surgeons Add and Capitalize on Organizational Impact

2:30 PM – Panel & Open Discussion: Real-World Lessons from the Trenches

This video based session will demonstrate specific complications that can occur during common surgical procedures and approaches to address them. The session will include a wide range of procedures and complications that span the practice patterns of SAGES members (foregut, bariatric, colorectal, hernia, HPB, and pediatric). Presenters will show a video of the complication that occurred and how they addressed it. A moderated discussion with the audience will follow about the appropriateness of the approach followed, potential steps to prevent the complication from occurring, and any other valuable points and questions that are brought up. SAGES members who are interested in viewing and discussing ways to troubleshoot potential common complications after a variety of procedures should attend this session.

At the conclusion of this session, attendees will be able to:

• Identify potential complications that can occur during the presented procedures.
• Employ different strategies to address the identified complications.
• Describe approaches to prevent such complications from occurring.

1:30 PM – When You Make a Hole … While Fixing a Hole

1:43 PM – Fear and Loathing in the Hiatus: Foregut Mayhem

1:56 PM – Pediatric Disasters: Oh Nooo! How Do I Fix This Now?

2:10 PM – From Leak to Fistula: A Colorectal Horror Story

2:23 PM – Now I Understand Why You Do Not Mess with the Pancreas!

2:36 PM – Bariatric Disaster: This Complication Made Me Lose More Weight Than My Patient

2:50 PM – Q&A

Artificial intelligence is no longer just experimental—AI-powered tools are now being applied in real-world surgery, with Japan leading clinical adoption and USA and Europe advancing innovation. This joint SAGES/JSES session will showcase cutting-edge insights from global pioneers, spanning preoperative planning, real-time ureter and nerve recognition, robotics, technology-enhanced learning, and even automated operative notes in the new era of AI. Surgeons seeking to understand the next era of navigation and precision in colorectal surgery should not miss this session.

At the conclusion of this session, attendees will be able to:

• Identify key applications of AI-powered tools in colorectal surgery, including preoperative planning, real-time ureter recognition, and nerve preservation strategies.
• Evaluate the clinical impact of AI-assisted navigation, robotics, and technology-enhanced learning on surgical precision and patient safety.
• Compare regional and international approaches to AI integration in colorectal surgery, drawing insights from Japanese, USA, European, and global perspectives.

1:30 PM – AI Insights in Colorectal Surgery: A Japanese Overview from Preoperative to Intraoperative Support

1:42 PM – AI Insights in Colorectal Surgery: A European Overview from Preoperative to Intraoperative Support

1:54 PM – Remote and Technology-enhanced Education in Colorectal Surgery: From Robotics to the Metaverse  

2:06 PM – Automated Operative Notes in the New Era of AI

2:18 PM – Real-time Ureteral Identification: Cross-disciplinary Perspectives from Gynecology and Colorectal Surgery  

2:30 PM – Real-time Enhanced Nerve Recognition for TME: A New Era of Colorectal Navigation Surgery

2:42 PM – Q&A

ILLS/SAGES Liver Session discusses the history of minimally invasive liver surgery, the spirit of continuous surgical innovations among the world pioneers to the state of the art techniques in laparoscopic and robotic liver surgery.  In this session, surgical training to achieve competency, the use of surgical devices including indocyanine green technology, and incisionless modality with Histosonic to improve outcomes, specific technical tips and tricks during major hepatic resection are dissected. Hepatopancreatobiliary surgeons, liver surgeons, transplant surgeons, hepatobiliary & surgical oncology fellows, and surgical oncologists are all invited to attend the session.

At the conclusion of this session, attendees will be able to:

• Understand the history and the spirit in continuous surgical innovations in minimally invasive laparoscopic and robotic liver surgery.
• Demonstrate the indication and application of indocyanine green in patients undergoing hepatic resection.
• Employ the most effective techniques of inflow vascular control and parenchymal transection in major laparoscopic and robotic hepatectomy.

1:30 PM – History, World Pioneers, and Current State of Minimally Invasive Liver Surgery with ILLS

1:42 PM – Role and Application of ICG in Patients With Underlying Liver Disease Requiring Hepatic Tumor Resection

1:54 PM – Technical Approach to Inflow Control in Laparoscopic and Robotic Hemihepatectomy                                        

2:06 PM – Technical Approach for Liver Parenchymal Transection During Minimally Invasive Major Hepatectomy, This Is The Best Way

2:18 PM – External Validation of Tampa Difficulty Scoring System for Robotic Hepatectomy Using AMILES (Americas Minimally Invasive Liver Surgery Registry) by SAGES

2:30 PM – Preliminary Comparison Between Histosonic and Minimally Invasive Liver Resection Based on Current

2:30 PM – Experience and Future Directions

2:42 PM  – Q&A

Cholecystectomy in the modern era is an operation that is common in practice, frequently underestimated, and which remains plagued by the problems of bile duct injuries and common bile duct stones. This recognition has led to the development of safe cholecystectomy principles which include not only a safe dissection, but also liberal use of biliary imaging and management of common bile duct stones to optimize patient safety and outcomes. This course is designed for surgeons who already perform cholecystectomy and who wish to either improve or adopt safe cholecystectomy, intra-operative biliary imaging, and common duct exploration skills through a hands-on, mentored approach.

At the conclusion of this session, attendees will be able to:

• Perform and accurately interpret biliary imaging techniques of intraoperative ultrasound, fluorescence and conventional cholangiography, and choledochoscopy.
• Employ safe and new strategies to treat the difficult gallbladder and common bile duct stone disease in patients with a gallbladder.
• Create a framework for implementing common bile duct explorations at your hospital with multidisciplinary input and safe bail out strategies.

3:10 PM – Where We Have Been: Parabolic Flight Historical

3:20 PM – Where We Are Going: Where’s the OR? Spaceships and Stations – Astronaut Perspective

3:40 PM – How We Will Manipulate Tissue: Autonomous Systems

4:00 PM – How We Will Manipulate Tissue: Humanoid Robotics

4:20 PM – How We Will Manipulate Tissue: Low-Resource Telesurgery

4:30 PM – How We Will Manipulate Tissue: Future Systems – DARPA

4:40 PM – Panel Discussion/Q&A

This practical session is designed for Foregut and General surgeons looking to enhance their expertise in surgical techniques and real-world decision-making for foregut procedures. Attendees will gain valuable insights from experienced surgeons on step-by-step approaches and best practices to improve patient outcomes.

At the conclusion of this session, attendees will be able to:

• Recognize and implement techniques to repair the difficult paraesophageal hernia.
• Select optimal surgical and endoscopic treatment for gastroparesis.
• Understand options and choose surgical and endoscopic treatments for achalasia.

3:30 PM – POEM vs Heller Myotomy in Achalasia Care 

3:45 PM – Solutions for Gastroparesis: Surgical vs Endoscopic Pyloromyotomy 

4:00 PM – Managing the Acute Paraesophageal Hernia with Volvulus

4:15 PM – Approach & Management of the Short Esophagus – Mediastinal Dissection

4:30 PM – The Unclosable Hiatus: What Do We Do Now?

4:45 PM – Q&A

The transition from pediatric to adult care is a vulnerable period for patients with congenital or chronic surgical conditions, where gaps in follow-up may result in preventable morbidity. Standardized transition pathways can reduce care fragmentation, ensure continuity of surgical history and improve long-term outcomes. Learn about pediatric obesity and how it differs from adult obesity, the barriers to transition of care in this population,  the adolescent/young adult brain, and successful models for transition of care.

At the conclusion of this session, attendees will be able to:

• Recognize the unique challenges and risks associated with transitioning patients with pediatric onset obesity treated with bariatric surgery from pediatric to adult surgical care.
• Identify best practices for structured handoffs between pediatric and adult providers, including communication of operative history, long-term surveillance needs, and multidisciplinary care plans.
• Incorporate practical strategies into surgical practice to reduce care fragmentation, optimize patient outcomes, and support young adults as they assume responsibility for their health.

3:30 PM – Pediatric Obesity – How This is Different than Adult Obesity

3:45 PM – Why Transitional Care Matters in Bariatric Surgery

4:00 PM – Understanding Transition of Care Gaps and Barriers

4:15 PM – Psychosocial Dimensions of Adolescents Transitioning Care

4:30 PM – Evidence Based Models for Successful Transition Programs

4:45 PM – Q&A

Adopting new procedures in practice can be daunting for even the most experienced surgeons. This session provides a roadmap for safely and effectively integrating new techniques, from advanced laparoscopy to robotics and beyond. Through candid discussion and practical strategies, faculty will highlight methods to identify learning opportunities, access training resources, and overcome barriers to implementation.

At the conclusion of this session, attendees will be able to:

Understand how to access training and resources from a community practice.

• Describe strategies to identify and prioritize new procedures relevant to their practice and patient population.
• Compare available pathways for acquiring new technical skills, including courses, simulation, mentorship, and proctoring.
• Develop an individualized approach to safely integrate new procedures into clinical practice while maintaining quality of care.
• Understand how to access training and resources from a community practice.

3:30 PM – Framing the Challenge: Why and How of Learning in Practice

3:40 PM – New Procedures Defined and Credentialing – A Department Chair`s Perspective

3:50 PM – Mentorship and Peer-to-Peer Learning – ADOPT Program

4:00 PM – Video Coaching and Structured Performance Review – Competency in 2025

4:10 PM – Proctoring, Telemetering and Alternative Learning Strategies

4:20 PM – Debate: Who Should Define the Pathways for New Procedures – Role of Surgical Societies

4:30 PM – Debate: Who Should Define the Pathways for New Procedures – Role of Industry

4:40 PM – Audience Poll

4:45 PM – Q&A

This session is geared toward surgeons performing hernia repairs. It will focus on the questions of how we define core health, how we measure abdominal wall function and how that function can be augmented. Novel discussions regarding prehabilitation and postop therapy upon abdominal wall function.  It will also address the sometimes-controversial questions surrounding coding and billing for abdominal wall reconstruction.

At the conclusion of this session, attendees will be able to:

• Articulate the components of abdominal wall function.
• Identify measures to assess abdominal wall function and how it can be improved.
• Implement appropriate coding strategies for abdominal wall reconstruction.

3:30 PM – Introduction

3:34 PM – Defining Core Health: What Does It Mean and Can It Be Measured?

3:46 PM – Abdominal Wall Form vs Function: Does Physical Therapy Work? 

3:58 PM – The Post-hernia Repair Abdominal Wall: Meaningful Outcomes Beyond Recurrence

4:10 PM – Q&A

4:20 PM – Demystifying the Coding Process: How Did We Get Here? 

4:30 PM – Tips and Tricks of Appropriate Hernia Coding

4:40 PM – Coding Outcomes: Am I Getting Paid for What I Do?

4:50 PM – Q&A

Complex colorectal surgery often extends beyond the boundaries of a single specialty. This session highlights the importance of teamwork in complex colorectal surgery. Knowing when to ask for help is just as important as knowing how to operate. Examples of multispecialty with Gynecologic Oncology, urology, hepatobiliary and bariatrics in cases with pelvic wall and reproductive, urologic involvement to Coordinating simultaneous or staged resections.

At the conclusion of this session, attendees will be able to:

• Recognize the clinical scenarios in colorectal surgery where multispecialty collaboration is essential.
• Describe the role of gynecologic oncology, urology, and hepatobiliary surgery in supporting complex colorectal cases.
• Apply case-based examples to determine when and how to seek help from other specialties.

3:30 PM – Pelvic Partnerships: When Colorectal Meets Gynecologic Oncology

3:38 PM – Pelvic Partnerships: When Colorectal Meets Gynecologic Oncology

3:46 PM – From Bowel to Liver: Joint Surgical Strategies for Colorectal Cancer with Metastases

3:54 PM – From Bowel to Liver: Joint Surgical Strategies for Colorectal Cancer with Metastases

4:02 PM – One Pelvis, Two Teams: Multidisciplinary Care in Colorectal–Urology Cases

4:10 PM – One Pelvis, Two Teams: Multidisciplinary Care in Colorectal–Urology Cases

4:18 PM – Navigating the Acute Abdomen: Colorectal–Bariatric Surgical Collaboration

4:26 PM – Navigating the Acute Abdomen: Colorectal–Bariatric Surgical Collaboration

4:34 PM – Q&A

This session is intended for surgeons interested in global surgery, with an emphasis on establishing programs that collaborate with surgeons to develop minimally invasive surgery (MIS) skills, promote safe surgical access, and create strategies adapted to specific local requirements.  Participants will be challenged to rethink resource-limited settings and broaden their perspectives. Achieving sustainable change in LMICs requires understanding and valuing local surgeons and their innovative solutions. The session offers insight into global surgery through real, inspiring experiences, allowing you to see from the perspective of LMIC surgeons.  The impact of economic factors in the sustainability of these programs will also be discussed.

At the conclusion of this session, attendees will be able to:

• Acknowledge the complexities of surgery and MIS development in LMICs, and prioritize local needs when working internationally.
• Understand cultural differences and develop strategies that incorporate local expertise, aiming to improve surgical standards, ensure patient safety, and support positive outcomes.
• Recognize the value of surgeons in LMIC as they strive to achieve the best standard in surgery.

3:30 PM – Introduction

3:35 PM – Innovation Through Challenge

3:47 PM – Leveraging Low Cost Training Models

3:59 PM – Two Worlds, One Scalpel: Seeing Surgery from Both Sides                      

4:11 PM – How to Build Sustainable Programs: The Importance of the Economic Factor 

4:23 PM – Spotlight on Local Needs: Creating Successful Programs

4:35 PM – What Has Changed in Global Surgery in the Last Decade? Milestones, Gaps, and the Future We Must Create

4:47 PM – Q&A

We encourage everyone to attend the opening session and welcome ceremony where the highlights for the conference and SAGES updates will be presented.

Advanced stapling techniques and workflow strategies. Join leading colorectal expert for a high impact, didactical session designed to advance robotic colorectal practice through powered stapling integration, optimized bedside workflow, and effective surgeon-assisted communication.

At SAGES 2026, we invite you to join us for a breakfast symposium focused on emerging trends in soft tissue surgical robotics. The session will spotlight the ASC Robot DEXTER®, purpose built for the outpatient site of case, and explore how DEXTER simplifies operations so more surgeons can deliver the benefits of robotics in a convenient ASC setting. Through practical perspectives and peer discussion, attendees will gain insight into an alternative robotic approach shaping outpatient care, and our shared responsibility to ensure innovation supports the highest standard of patient care, reflecting the SAGES 2026 theme, Connect to Purpose.

Join us for a fast-paced expert panel on the future of multi-mode surgical visualization. Discover the latest in multimodal imaging and see how VISERA ELITE III brings clarity to complex procedures through focused insights and interactive discussion.

This course is conducted during the annual SAGES meeting and will be followed with a one-year long curriculum designed to facilitate the adoption of the robotic TAR procedure into practice. The lab will have pre-course virtual meetings aimed at discussing key anatomic aspects of the abdominal wall, tips and tricks for robotic TAR procedures and case presentations. This hands-on lab will focus on the technical aspects of complex abdominal wall reconstruction, specifically transversus abdominis release. Attendees should have access to a robotic platform, as well as experience in robotic hernia repair procedures with a knowledge of abdominal wall anatomy and experience with open transversus abdominis release procedures. The immersion experience exposes learners to a personalized 4 hour cadaveric lab experience with a ration of 2 attendees per faculty.

At the conclusion of this session, attendees will be able to:

• Perform a posterior component separation/transversus abdominis release utilizing the robot with implantation of mesh.
• Identify key anatomic landmarks in order to safely perform a posterior component separation.
• Safely develop the retro muscular space utilizing the robot for a Rives Stoppa repair.

Acute Care Session 2
Bariatric Session 2
Parastomal Hernia Session
Colorectal Session 2
HPB Session 1

Operating rooms are among the most resource-intensive areas in healthcare, accounting for a disproportionate share of hospital waste, energy consumption, and greenhouse gas emissions. From single-use plastics and excessive packaging to inefficient energy systems and outdated workflows, the environmental footprint of surgical care is substantial—and increasingly unsustainable. This session will present practical, evidence-based strategies to reduce waste, optimize energy use, and accelerate the transition to environmentally responsible surgical practices—without compromising patient safety or clinical outcomes. Drawing on success stories from leading global institutions, we will highlight innovative approaches such as enhanced waste segregation systems, safe and cost-effective reprocessing protocols, and OR-specific energy-saving interventions.

At the conclusion of this session, attendees will be able to:

• Demonstrate sustainable practices in the OR.
• Understand energy use in the OR and allow delegates to evaluate how sustainably they practice.
• Implement sustainable practices in their OR.

8:00 AM – Introduction and Welcome: Sustainable Surgery

8:03 AM – From Footprint to Framework: Improving Sustainability at Surgical Conferences

8:08 AM – The Sustainable Appendectomy – A Vehicle for Exploring Reusables and Instrument Rationalization

8:18 AM – Sustainable Energy Use in the OR                                                                                                                        

8:28 AM – Bridging the Gap: Clinician–Engineer Collaboration for OR Sustainability                                                            

8:38 AM – Leading Change: Embedding Sustainability into Surgical Culture and Practice 

8:48 AM – Q&A

Artificial intelligence, immunofluorescence, and advanced visualization tools are transforming endoscopy and surgery by improving precision and safety. This session will explore current applications in upper and lower endoscopy as well as surgical procedures, with a focus on polyp detection, Barrett`s esophagus, nerve identification, and integration of ICG in Laparoscopic surgery.

At the conclusion of this session, attendees will be able to:

• Evaluate the clinical impact of artificial intelligence in endoscopy and surgery, including polyp detection, Barrett`s esophagus, and nerve identification.
• Integrate immunofluorescence (ICG) and AI technologies into surgical decision-making.
• Differentiate potential benefits and risks of AI adoption, including operator skill retention, safety considerations, and opportunities for workflow improvement.

8:00 AM – Introduction & Goals of the Session

8:05 AM – The Expected Value of AI in Endoscopy 

8:15 AM – Polyp Patrol: AI-Enhanced Colonoscopy   

8:25 AM – You`re Making Me Nervous: AI for Nerve Identification in Surgery                                                                        

8:35 AM – ICG Usage & the Future of Molecular Imaging                                                                                                      

8:45 AM – Beyond White Light: Advanced Imaging and Artificial Intelligence in Colorectal Surgery

8:55 AM – Q&A

Scientific Session

This session is designed for practicing foregut providers from all backgrounds and at all levels. The surgical management for foregut disease can be quite nuanced and there are many new techniques and technologies being employed. This session will provide an updated overview of some of the current and progressive ways to manage patients undergoing first time and revisional foregut surgery.

At the conclusion of this session, attendees will be able to:

• Describe the most up-to-date techniques used to surgically treat patients with foregut disease.
• Evaluate the differences among various endoscopic and surgical techniques used to manage patients undergoing initial and revisional foregut surgery.
• Recommend best practices for managing adolescent patients with GERD.

10:00 AM – Introduction

10:02 AM- GERD Management in the Adolescent Population

10:12 AM – To Wrap or Not to Wrap– That`s the Question (Wrap vs Gastropexy)  

10:22 AM – Options for Failed Fundoplication   

10:32 AM – C-TIF vs LINX vs Traditional Fundoplication 

10:42 AM – Discussion for Hot Topics in Foregut

11:00 AM – Hot Abstracts in Foregut

This session examines the increased utilization of endoscopic sleeve gastroplasty amongst surgeons and gastroenterologists for the treatment of severe obesity by exploring its indications; technical considerations; outcomes in comparison to other available therapies; and its advantages and potential pitfalls.

At the conclusion of this session, attendees will be able to:

• Describe the indications for endoscopic sleeve gastroplasty (ESG) and appropriate patient selection.
• Compare outcomes of ESG with laparoscopic sleeve gastrectomy and GLP-1 receptor agonists.
• Recognize the potential challenges associated with conversion of ESG to another bariatric surgical procedure.

10:00 AM – Introduction

10:01 AM – ESG Indications and Technical Considerations: How I Do It, Who Should Do It (Surgeon Or Gastroenterologist)?

10:13 AM – ESG in Your Practice: Therapeutic Advantages, Patient Selection and Follow-Up, Institutional Resources and Billing

10:25 AM – ESG Outcomes and Cost-effectiveness, with Comparison to Sleeve Gastrectomy and GLP1-RA Agonists

10:37 AM – Conversions and Complications: Bariatric Surgery and Managing Complications Following ESG

10:49 AM – Panel Discussion

10:59 AM – Closing

The ideal operating room (OR) should be connected, sustainable and accessible. Rapidly evolving technologies—such as robotics, artificial intelligence, and advanced imaging integration—are intended to enhance operating room safety, efficiency, and outcomes. However, their successful implementation relies on foundational infrastructure, including high-speed connectivity and digital integration, which need adaptation to both low- and high-resource environments to ensure equitable adoption in the operating room of the future.  Participants will examine how design innovations, interoperability of systems, and data-driven decision-making can optimize surgical workflows and enhance team performance with a balanced consideration of cost, energy requirements and supply chain challenges in low resourced isolated locations.  Through case examples and discussion, we will highlight how future ORs will adapt to the changing needs of patients, providers, and health systems—ultimately shaping the next era of surgical care.

At the conclusion of this session, attendees will be able to:

• Identify and describe the essential design, technology and workflow elements that define the ideal OR of the future.
• Evaluate the impact of OR design and capabilities on interprofessional teamwork, surgeon performance and telecollaboration.
• Distinguish how innovations including robotics, artificial intelligence, and advanced imaging, can enhance surgical safety, efficiency and patient outcomes.

10:00 AM – Introduction

10:02 AM – The Integrated OR: Bridging High- and Low-resource Settings

10:14 AM – OR of the Future: Balancing Innovation and Sustainability

10:26 AM – Latency, Liability and Equity: Can Telesurgery Keep Its Promises? 

10:38 AM – From Teamwork to Telementoring: Strengthening Surgical Collaboration in the Digital Era

10:50 AM – Discussion

This session features lively debates that will help answer important questions about various hernia & abdominal wall repairs. From mesh selection to staged approaches to patient optimization, hernia experts will deliberate controversial topics in hernia repair and abdominal wall reconstruction.

At the conclusion of this session, attendees will be able to:

• Describe the benefits and disadvantages of both biologic and biosynthetic resorbable meshes.
• Discover the nuances of completing a 1-stage complex abdominal operation/reconstruction vs a multi-staged approach to complex abdominal wall pathology.
• Implement preoperative optimization strategies in your practice, and discover the benefits of optimizing patients vs proceeding without optimization.

10:00 AM – Introduction  

10:05 AM – Biologic Mesh – Overview and Why It Beats Bioabsorbable Mesh 

10:17 AM – Biosynthetic Absorbable Mesh – Overview and Why It Beats Biologic Mesh 

10:29 AM – Q&A

10:35 AM – Git-R-Done: 1-Stage AWR  

10:47 AM – Slow and Low is the Tempo: 2-Stage AWR  

10:59 AM – Q&A

11:05 AM – Optimized: Why Preoperative Optimization is Essential for AWR

11:17 AM – Non-Optimized: Is Optimization Really Necessary for Hernia Repair & AWR? 

11:29 AM – Q&A

11:35 AM – Panel Discussion/Q&A

In this session, different modalities to assess esophageal function will be discussed. Experts will discuss different assessment modalities in a pro/con fashion with discussion of case based scenarios. This session will provide practical information to the practicing surgeon. Surgeons will be able to determine which modality is feasible in their system and which will be best to optimize care for their patients.

At the conclusion of this session, attendees will be able to:

• Understand modalities (Barium Swallow, Hamburger/Marshmallow swallow, Endoflip, High resolution manometry) available to the practicing surgeon for evaluation of esophageal motility.
• Develop an algorithm on which test is best for a given patient.
• Discuss pitfalls and problems relating to esophageal motility testing.

10:00 AM – Introduction

10:05 AM – High Resolution Manometry (HRM) is the Best Esophageal Function Test 

10:15 AM – Functional Lumen Imaging Probe is the Best Esophageal Function Test

10:25 AM – The Hamburger/Marshmallow Swallow is the Best Esophageal Function Test 

10:35 AM – Barium Swallow is the Best Esophageal Function Test 

10:45 AM – Case Scenarios and Panel Discussion

This session is for and by LATAM surgeons with special interest in gastrointestinal, bariatric and abdominal wall surgery. The goal is to thoroughly address very specific and hot topics in these areas.

At the conclusion of this session, attendees will be able to:

• Choose when to use a mesh at the hiatus, choose when to use special techniques in Metabolic surgery and when to do a TAR.
• Know when and how to solve the large sac in scrotal inguinal hernia repair.
• Interpret the benefits of the ICG in upper GI surgery.
• Implement the Endovac in foregut surgery.

10:00 AM – Mallas Biosintéticas en el Hiato: ¿Solución o Falsa Promesa?  

10:08 AM – Endovac al Rescate de la Cirugía Gastrointestinal 

10:16 AM – Técnica Ileales en Bariátrica: ¿Por Qué y para Quién?

10:24 AM – Fluorescencia (ICG) en Cirugía Metabólica y Gastrointestinal 

10:36 AM – Manejo del Saco en Hernia Inguino-escrotal: ¿Cómo Bajo Mi Morbilidad?  

10:44 AM – Reconstrucción de la Pared Abdominal: ¿Estamos Sobre Utilizando el TAR?  

10:52 AM – Q&A

For learners and practicing surgeons at all levels, this session explores the potential advancements in training and quality improvement that can be obtained by harnessing the wealth of data available from robotic surgery platforms. Attendees will hear how the surgical robot as a data collection platform can be used to inform performance assessment and the need for technology enhancement. Strategies for gaining access to this rich data source will be discussed.

At the conclusion of this session, attendees will be able to:

• Develop initiates to utilize robot surgery data for training assessment.
• Identify opportunities for quality improvement derived from robotic systems data.
• Negotiate access to valuable robotic surgery performance data.

10:00 AM – Introduction and Objectives 

10:05 AM – Enhanced Performance Assessment Through Robotic Surgical Platform Data 

10:17 AM – Using Robotic Surgery Data for Training Improvement and Needs Assessment 

10:29 AM – Gaining Access to Robotic Surgery Data Behind the Curtain                

10:41 AM – Panel Discussion

This session will highlight complications and management strategies of complex clinical scenarios among metabolic/bariatric surgical patients. All providers evaluating and treating bariatric patients are encouraged to attend.

At the conclusion of this session, attendees will be able to:

• Recognize complications following various bariatric surgical procedures.
• Employ surgical interventions for complex clinical scenarios among bariatric patients.
• Identify opportunities for endoscopic and other innovative approaches in the management of bariatric complications.

11:00 AM – Bariatric Surgery: Cataclysm Potpourri 

11:13 AM – Chronic Sleeve Leak/Fistula     

11:26 AM – Recurrent Strangulated Hiatal Hernias Following SADI-S 

11:39 AM – Endoscopic Reversal of Gastric Bypass  

11:52 AM – Q&A       

This session will provide surgeons with an overview of innovations in robotic surgery and a vision for how surgical robots and enabling technologies will evolve over the next several years. Presentations will address the current state and future of advanced surgical robotics enabled by artificial intelligence.

At the conclusion of this session, attendees will be able to:

• Describe steps and barriers to realizing autonomous surgery.
• Discuss opportunities and risks of telesurgery.
• Elaborate insights that artificial intelligence can generate from robotics platforms.

11:00 AM – Remote Surgery: In Space and on Earth 

11:08 AM – Foundation Models for Surgical

11:16 AM – The Future of Augmented Dexterity and Telesurgery 

11:24 AM – Optimizing Surgical Workflow and Resourcing with Robotics  

11:32 AM – Augmented Intelligence in Surgical Robotics   

11:40 AM – The Future of Surgical Robotics 

11:48 AM – Q&A

This session will address a critical but often overlooked skill necessary to provide the best care to patients: communication. By reviewing and exploring basic tenets, coaching to recognize and avoid common pitfalls, and defining and sharing best practices, it is the goal of the course faculty to elevate both the competence and confidence level of the participant in their ability to communicate with their patients. Anyone who provides surgical care to a patient should take this course.

At the conclusion of this session, attendees will be able to:

• Avoid the cognitive trap` by recognizing and responding to the emotions behind patients` questions and comments.
• Recognize that surgery can only accomplish four goals: help patients live longer, feel better, prevent a disability, or make a diagnosis.
• Elicit patient goals for surgery and understand how a deliberative space around goals can drive a conversation around consent for surgery.

11:00 AM – Introduction of Fundamentals of Surgical Communication  

11:05 AM – Better Conversations: What are the Benefits to the Patient? 

11:13 AM  – Avoiding the Cognitive Trap

11:25 AM – Better Conversations: Goals of Surgery 

11:33 AM – Better Conversations: `Usually, We Do Surgery for This` 

11:48 AM – Group Debrief and Feedback

This session will explore the evolving delivery of surgical training, proctorship, and even operative care through remote and digital platforms. Advances in robotics, telecommunications, and interactive digital interfaces now make it possible to perform surgical procedures from a distance, extending access to specialized expertise where it is most needed. This capability is particularly valuable for managing specific disease conditions or supporting care in remote and isolated settings. Tele proctoring and telepresence are expanding opportunities for healthcare equity by enabling access to expert guidance for complex operations, providing high-fidelity training, and ensuring timely advice and support.

At the conclusion of this session, attendees will be able to:

• Recognize the role of telepresence in advancing healthcare equity.
• Identify best practices and insights from experts to support delivery of accredited programs and local improvement initiatives.
• Understand how telepresence is being utilized locally and globally. 
• Appreciate the value of digital surgery and telepresence in expanding access to specialized expertise where needed.

11:00 AM    –   Elevating Surgical Training with Telesimulation

11:08 AM    –   Redefining Robotic Surgical Education: Teleproctoring Feasibility and Trainee Perception

11:16 AM    –   Learning at a Distance: A Trainee`s Perspective on Remote Proctoring

11:24 AM    –   Telesurgery: Infrastructural Challenges, Liability, and Ethics

11:36 AM    –   Telesurgery: Enhancing Equity in Surgical Care  

11:48 AM    –    Q&A

Hot Topics in Foregut
Biliary Session

Content Outline:

• The Surgeon’s Way
• Gastroparesis Myth Busting
• GI Partnership that Works
• Where Enterra Fits: The Surgeon’s Algorithm
• Building the Program: Start Small, Build Start
• The Surgeon’s Playbook
• Q&A

Urgent and complex cases are as unpredictable as the Florida forecast. Redo-redo gallbladders, large bowel obstructions, and acute diverticulitis require an adaptable skillset and creative problem-solving. Learn how experts leverage the benefits of the hand to extend MIS outcomes to challenging cases, so you can be ready for any condition.

Join us for an engaging lunch symposium exploring how Versius Plus* is helping expand access to robotic surgery through clinical and operational excellence. This session will feature real-world insights, practical workflows, and lessons learned from centers with meaningful experience adopting the system. Hear from distinguished surgeons as they share their perspectives on implementation, program development, and the evolving role of robotic surgery across different clinical environments. The session will include a moderated discussion and dedicated audience Q&A. Register here: https://luma.com/cmrsurgicallunchsymposium

This course is conducted during the annual SAGES meeting and will be followed with a one-year long curriculum designed to facilitate the adoption of the robotic TAR procedure into practice. The lab will have pre-course virtual meetings aimed at discussing key anatomic aspects of the abdominal wall, tips and tricks for robotic TAR procedures and case presentations. This hands-on lab will focus on the technical aspects of complex abdominal wall reconstruction, specifically transversus abdominis release. Attendees should have access to a robotic platform, as well as experience in robotic hernia repair procedures with a knowledge of abdominal wall anatomy and experience with open transversus abdominis release procedures. The immersion experience exposes learners to a personalized 4 hour cadaveric lab experience with a ration of 2 attendees per faculty.

At the conclusion of this session, attendees will be able to:

• Perform a posterior component separation/transversus abdominis release utilizing the robot with implantation of mesh.
• Identify key anatomic landmarks in order to safely perform a posterior component separation.
• Safely develop the retro muscular space utilizing the robot for a Rives Stoppa repair.

Hands-on instruction of per-oral endoscopic myotomy (POEM) for the lower esophageal sphincter and pylorus. Participants will work in pairs, each getting time to complete each procedure on porcine models with guidance from experienced faculty.

At the conclusion of this session, attendees will be able to:

• Understand the principles of POEM for all three upper GI sphincters (cricopharyngeus, lower esophageal sphincter, pylorus).
• Successfully complete lower esophageal sphincter and pylorus endoscopic myotomies on porcine models.

Scientific Session

Plenary Session 1

Session designed for those interested in learning about techniques and advancements in the management of gastroparesis and management and options for treatment for GERD and recurrent hiatal hernias.

At the conclusion of this session, attendees will be able to:

• Evaluate and develop plans for complex foregut patients.
• Apply newer techniques or tools to treat gastroparesis.
• Develop an algorithm for treating hiatal hernias, especially recurrent hiatal hernias

1:30 PM – Gastroparesis – Endoscopic Treatment        

1:40 PM – Gastroparesis – Surgical Treatment (Electrical Stimulation vs Emptying Procedures) 

1:50 PM – Panel Debate

2:00 PM – The Hiatal/Diaphragmatic-Repair Has Everything to Do With a Strong Anti-reflux Surgery Repair 

2:10 PM – Anti-Reflex Surgery Repair Has Everything to Do with Hiatal Hernia Repair and Nothing to Do with Wrap/Mesh – What is the Evidence?

2:20 PM – Panel Debate

2:30 PM – GERD – Role for Fundoplication    

2:40 PM – GERD – Role for MSA and Endoscopic Treatment      

2:50 PM – Panel Debate

3:00 PM – Panel Discussion/Q&A

Obesity is a complex, multifactorial disease that significantly impacts the management and outcomes of other medical and surgical conditions. This session will deliver a comprehensive, up-to-date exploration of obesity management, with a special focus on the challenges and strategies involved when obesity coexists with gastroesophageal reflux disease (GERD), colon disease, and hernia.

At the conclusion of this session, attendees will be able to:

• Update attendees on the latest evidence and guidelines for managing obesity with comorbid conditions.
• Highlight the importance of multidisciplinary and community-based care.
• Foster discussion on health equity and access in obesity care

1:30 PM – Obesity & GERD: Evidence-Based Updates and SAGES White Paper   

1:45 PM – Managing Obesity in Patients with Colon Disease      

2:00 PM – Hernia Repair in the Patients with Obesity: Best Practices  

2:15 PM – Patient Perspective: Living with Obesity & Comorbidities 

2:30 PM – Multidisciplinary Approaches: Surgical Perspective on Integrating Medical & Surgical Care

2:40 PM – Multidisciplinary Approaches: Medical Perspective on Integrating Medical & Surgical Care

2:50 PM – Addressing Health Disparities in Obesity Management    

3:05 PM – Panel Discussion/Q&A

Have you ever had an idea for a new health technology or medical device? Do you have one now and are not sure how to take the next step? This course is for you! This course will consist of didactics with a series of short lectures from innovators, entrepreneurs, and investors who explain what it really takes to get an idea to market. The course will also feature examples of real life examples of innovations brought to life presented by the innovators themselves.

At the conclusion of this session, attendees will be able to:

• Describe the steps necessary to bring an idea to market in healthcare.
• Identify and define unmet needs in healthcare.

• Describe basics of regulatory, reimbursement, and intellectual property as it relates to medical technology innovation.

1:30 PM – Finding the Need & Concept Generation 

1:45 PM – IP Basics  

2:00 PM – Building a Business: Business Models, Value Proposition & Fundraising     

2:15 PM – Regulatory and Reimbursement Basics       

2:30 PM – Keynote

3:00 PM – My Innovator Story: A Breath of Fresh Air 

3:15 PM – Q&A

While transversus abdominis release (TAR) is often considered the definitive management option for ventral hernia repair, recurrences due to reoperation, mesh fracture, parastomal hernia recurrence, or improper technique during the index repair can leave surgeons with some of the most challenging clinical scenarios.  Here we ask experts about management strategies to prevent and address these ultra-complex cases.

At the conclusion of this session, attendees will be able to:

• Describe the mechanisms and prevention strategies for recurrence after TAR.
• Articulate minimally invasive management options for recurrence after TAR.

• Articulate and describe how to manage recurrence after a previous TAR that was properly executed.
• Articulate and describe how to manage recurrence after a previous TAR that caused abdominal wall injury due to improper dissection.
• Articulate and describe how to manage parastomal hernia recurrence after a previous TAR with parastomal hernia repair.

1:30 PM – Recurrence After TAR – Mechanisms and Prevention

1:40 PM – Minimally Invasive Options for Recurrence After TAR 

1:50 PM – Re-Do TAR After Retromuscular Misadventure 

2:00 PM – Re-Do TAR When It Was Done Correctly the First Time 

2:10 PM – Re-Do TAR Parastomals – Can I Retire Yet?  

2:20 PM – Q&A

This mixed didactic and video-based session will evaluate the role of minimally invasive surgery in several complex colorectal surgery scenarios. Surgeons who are looking to safely increase the application of minimally invasive surgery in their colorectal surgery practice will enjoy hearing from an expert panel of MIS Colorectal Surgeons who will share their experience with various challenging clinical scenarios.

At the conclusion of this session, attendees will be able to:

• Learn about some of the current controversies in complex colorectal surgery.
• Employ new minimally-invasive techniques for challenging disease processes.
• Understand when an MIS approach is (or is not) safe and feasible in technically complex cases.

1:30 PM – Introduction

1:32 PM – How Low Can You Go? Transabdominal Approaches to Low Presacral Tumors  

1:44 PM – MIS Approaches to Hartmann`s Reversal   

1:56 PM -The Colon Won`t Reach the Pelvis – Do I Need to Convert?   

2:08 PM – MIS Approaches to Colovesical and Colovaginal Fistulas

2:20 PM – Q&A

This session is designed for surgeons, trainees, and allied health personnel with an interest in MIS solid organ surgery of the adrenal and spleen.  This session we will review the approach to evaluation and management of adrenal incidentaloma, the various operative approaches to adrenalectomy, tips and tricks for splenectomy for splenomegaly, and how to avoid complications with these procedures.

At the conclusion of this session, attendees will be able to:

• Identify the essential biochemical assessment of an adrenal incidentaloma and indications for surgical management.
• Compare transabdominal, retroperitoneal, and robotic approaches to adrenalectomy.
• Recognize operative strategies for management of the difficult splenectomy and identify methods to prevent complications of splenectomy.

1:30 PM – Essential Diagnostic Evaluation and Indications for Surgery for Adrenal Incidentaloma

1:40 PM – Optimal Surgical Approach 1: Transabdominal Lateral Adrenalectomy   

1:48 PM – Optimal Surgical Approach 2: Retroperitoneal Adrenalectomy   

1:56 PM – Optimal Surgical Approach 3: Robotic-assisted Adrenalectomy      

2:04 PM – Tips and Tricks for Splenectomy in Patients with Splenomegaly        

2:14 PM – Avoiding Complications of MIS Splenectomy   

2:22 PM – Q&A

Digital surgery and surgical data science are rapidly transforming how surgeons acquire, analyze, and act on intraoperative data. This interactive session will introduce the foundations of digital surgery and highlight practical applications in data capture, performance improvement, surgical training, telepresence, and advanced visualization technologies, with a focus on opportunities, challenges, and strategies for real-world implementation.

At the conclusion of this session, attendees will be able to:

• Identify the core components of digital surgery and surgical data science, and articulate their relevance to clinical practice.
• Evaluate practical strategies to apply digital tools for data capture, performance feedback, and resident education in surgical training.
• Assess opportunities and challenges in implementing telepresence in the operating room and AI-enhanced visualization technologies to improve surgical decision-making and patient outcomes.

1:30 PM – What is Digital Surgery and Surgical Data Science – Definitions, Core Concepts and Emerging Trends  

1:45 PM – Case 1: Data Capture in the Operating Room – Challenges, Workflow Integration, Privacy  

1:50 PM – Panel Discussion

2:10 PM – Case 2: Using Data for Quality Improvement – Resident Education, Performance Feedback, Self-review  

2:15 PM – Panel Discussion

2:35 PM – Case 3: Telepresence and Teleproctoring – Enabling Global Collaboration, Credentialing, Mentorship

2:40 PM – Panel Discussion

3:00 PM – Case 4: Advanced Visualization and AI – Surgical Navigation, Decision-Support, Future Applications

3:05 PM – Panel Discussion 3:25 PM   Future Directions and Closing Remarks

In this session, attendees will learn a practical approach to addressing some of the `worst case scenario` ventral hernias. The session will focus on case-based scenarios presented by expert surgeons. Each presenter will discuss a hernia disaster and provide a structured algorithm that can be applied in clinical practice. This one hour session will have four talks followed by a moderated panel with audience Q&A.

At the conclusion of this session, attendees will be able to:

• Plan an operative approach that promotes the best outcome for a patient with a hernia disaster.
• Develop an algorithm to approach complex abdominal wall hernias.
• Integrate best evidence with real world examples to improve clinical care for complex abdominal wall hernia.

2:30 PM – Early Major Complications After Ventral Hernia Repair

2:40 PM – Emergent Ventral Hernia Repair in High-risk Patients 

2:50 PM – Abdominal Wall Hernia Repair in the Setting of Fistula and/or Infected Mesh     

3:00 PM – The BIG Disaster — Can This Abdominal Wall Be Reconstructed?  

3:10 PM – Q&A

Colorectal Disasters is an interactive, case-based video filled session focused on the recognition and management of high-risk, complex colorectal conditions and complications. We will focus on both standard and minimally invasive alternative options for managing colorectal conditions and complications, showcasing technical pearls, novel innovative strategies and important clinical factors to consider for success. Designed for surgical residents, fellows, and practicing surgeons, this session provides practical strategies for navigating challenging intraoperative and postoperative scenarios to improve patient outcomes.

At the conclusion of this session, attendees will be able to:

• Identify and assess strategies for managing failures with transanal endoscopic surgery platforms.
• Apply evidence-based strategies to manage complex intraoperative pelvic complications and challenges.
• Make timely, highly effective technical decisions in different Crohn`s disease operations.

2:30 PM – Introduction    

2:35 PM – Bottomed Out: When the Transanal Endoscopic Surgery Platform Fails     

2:43 PM – Frozen Pelvis: Where Blood Pours, Urine Leaks, and Hope Runs Thin     

2:51 PM – Held by a Staple and a Prayer: Managing the Leaky Anastomosis   

2:59 PM – The Crohn’s Minefield: Angry Mesentery, Fistulas, and Surgical Traps   

3:07 PM – Panel Discussion

The potential for an unanticipated Acute Care Disaster may evoke fear or dread for the unprepared surgeon – but for the SAGES community it can be the opportunity to showcase creative thinking, technical expertise, and dedication to patient care.  This session will provide a review of common and uncommon Acute Care Disasters and expertise on creative and novel management tools.

At the conclusion of this session, attendees will be able to:

• Identify techniques to manage Acute Care Disasters.
• Recognize important components of Acute Care Disasters that may influence operative management.
• Demonstrate understanding of the nuances of Acute Care Disasters unique to the patient physiology and disease processes

2:30 PM – Introduction

2:33 PM – Acute Care Disasters in the Rural Setting

2:42 PM – Acute Care Disasters in the Academic Medical Center

2:51 PM – Acute Care Disasters in a Community Hospital 

3:00 PM – From Nuisance to Nightmare: Understanding Adhesion Pathophysiology in Acute Care  Disasters 

3:09 PM – Patient Advocacy in Acute Care Surgery

3:18 PM – Q&A

HPB Session 2

First-time foregut surgery is great but sometimes goes terribly wrong. Learn when and how to manage complex foregut revision surgeries – hopefully not in the middle of the night. Acute paraesophageal recurrence, ischemic stomach, morbid obesity with long segment Barrett`s and GG fistula are all on the table.

At the conclusion of this session, attendees will be able to:

• Identify foregut surgical failure patterns and recognize appropriate emergent versus nonemergent intervention needs.
• Implement appropriate workup with EndoFLIP, manometry, upper GI and endoscopy and assessment of patient risk factors to achieve optimal reoperative outcomes.
• Integrate bariatric considerations if necessary into reoperative antireflux surgical planning when necessary.
• Recognize the expanding problem of non-bariatric foregut disease in prior bariatric surgical patients and demonstrate comprehensive management in these patients.

4:00 PM – Introduction 

4:03 PM – Recurrent Hiatal Hernia Repair: Role of Relaxing Incisions, Esophageal Lengthening and Mesh  

4:13 PM – Patient and Technical Considerations for Bypass and Resectional Procedures After Failed Hiatal Surgery

4:23 PM – Endoscopic Procedures in Revisional Foregut Surgery: Is There a Role for Salvage and Treatment?

4:33 PM – Refractory Gastroparesis After Hiatal Hernia Repair: Endoscopic and Surgical Options 

4:43 PM – Q&A

The `Top 21 Procedures Every Practicing Surgeon Should Know` has always been a staple SAGES online resource for general surgeons practicing both in academic and private practice. This session aims to showcase techniques and insights of five of the most common and updated minimally invasive procedures performed by general surgeons as shown by experts in their fields.

At the conclusion of this session, attendees will be able to:

• Describe tips and approaches for common general surgery minimally invasive procedures.
• Integrate new techniques to anticipate and avoid common pitfalls for common general surgery minimally invasive procedures.
• Employ best practices for common minimally invasive surgeries for all general surgeons.

4:00 PM – Laparoscopic Paraesophageal Hernia Repair

4:10 PM – Robotic Gastric Bypass   

4:20 PM – Laparoscopic Common Bile Duct Exploration    

4:30 PM – Laparoscopic Inguinal Hernia Repair  

4:40 PM – Robotic Low Anterior Resection 

4:50 PM – Q&A

This session explores best practices and guideline-based approaches to hernia repair, with practical strategies for translating evidence into daily surgical practice. General surgeons and healthcare professionals involved in hernia care will gain insights into improving patient outcomes, enhancing surgical quality, and preparing for evolving recognition and credentialing standards.

At the conclusion of this session, attendees will be able to:

• Demonstrate knowledge of hernia repair guidelines and best practice recommendations.
• Adopt and implement best practice strategies in order to improve patient outcomes.
• Employ quality improvement programs to self-monitor hernia surgery outcomes and adjust practice patterns accordingly.

• Understand the future of high-quality hernia care and opportunities for recognition of surgeon excellence

4:00 PM – Wish List to Reality: High-Impact Guidelines for Hernia Surgery 

4:10 PM – From Paper to Scalpel: Driving Adoption of Standardized Hernia Care  

4:20 PM – The Other 80%: Creative Strategies to Drive Hernia Practice Change 

4:30 PM – Right Care, Right Now: Monitoring and Credentialing for Standardized Hernia Practice

4:40 PM – From Variation to Value: Redefining Excellence in Hernia Care  

4:50 PM – Panel Discussion

This session is designed to inform surgeons about Opioid free/Opioid sparing anesthesia (OFA/OSA) protocols and their successful use to improve outcomes in minimally invasive surgery. They have become increasingly successfully used in MIS colorectal surgery and can enhance ERP`s.  This will illustrate protocols used, outcomes, and strategies to overcome adoption hurdles. The target audience is Colorectal or any MIS surgeon looking to evolve their clinical practice and consider adding OFA to their enhanced recovery protocols.

At the conclusion of this session, attendees will be able to:

• Demonstrate OFA and OSA Protocols and how to implement them in MIS Colorectal Surgery.
• Compare outcomes and quality advantages.

• Recognize challenges in adoption and prepare the audience on how to overcome these obstacles

4:00 PM – Introduction

4:01 PM – Opioid Free Anesthesia: Protocols and Data 

4:16 PM – OFA vs OSA: Benefits, Challenges, and Tailoring Protocols for Specific Patient Populations

4:31 PM – OFA Adoption at Your Institution: Buy-in, Challenges and Future Benefits  

4:41 PM – Blocks: Tapp, QL, Other Options, Timing, and Who Does Them  

4:51 PM – Q&A

This session introduces how artificial intelligence is advancing video-based assessment (VBA) of surgical skills, providing objective and consistent evaluation. Participants will learn how AI can complement traditional training and assessment methods by offering real-time, data-driven insights. Surgeons, educators, and researchers interested in surgical education and simulation will benefit from understanding these emerging tools and their potential impact on credentialing.

At the conclusion of this session, attendees will be able to:

• Differentiate between traditional methods of surgical skill assessment and AI-enabled video-based approaches.
• Evaluate how AI can be used for formative and summative assessments based on surgical videos.
• Compare the strengths and limitations of AI-driven versus human-based surgical skill evaluation.

4:00 PM – Introduction 

4:04 PM – AI for High Stakes Assessment – The FLS Experience

4:14 PM – Video Based Assessment in High Stakes Certification

4:24 PM – Computer Vision for Video Based Assessment of Surgical Procedures – Current and Future

4:34 PM – Current and Future State of Automated Surgical Assessment

4:44 PM – Q&A

Foregut Session 2
Bariatric Session 3
Inguinal Hernia Session
Colorectal Session 3

Surgeons from all specialties will benefit from the spiciest ductal debates this year. Learn tips and tricks that apply to multiple biliary ductal imaging modalities, including ultrasound, cholangiography, fluorescence, and laparoscopic and robotic approaches.

At the conclusion of this session, attendees will be able to:

• Understand technical considerations for bile duct exploration in laparoscopic versus robotic platforms.
• Compare benefits and drawbacks of different imaging modalities for the biliary tree.
• Assess technical considerations when imaging the biliary tree on the laparoscopic versus robotic platforms.

5:00 PM – IOC: The Tried, True, and Only Way to See the Biliary Tree         

5:10 PM – Please, ICG My Biliary Tree: Why It`s the Best and Brightest  

5:20 PM – Forget the Rest: Intraoperative Ultrasound is The Best   

5:30 PM – LCBDE: Less Metal, More Skill  

5:40 PM – Rise of The Machines: Robots Explore the Bile Duct Better     

5:50 PM – Q&A

The integration of robotic-assisted surgery into Acute Care Surgery (ACS) is rapidly transforming how we manage urgent and emergent surgical conditions. This session will explore the evolving role of robotics across a spectrum of acute surgical scenarios, from the creation of robust robotics programs to the management of complex intra-abdominal pathologies. Expert panelists will share institutional experiences, evidence-based practices, and clinical pearls to optimize patient outcomes while navigating the logistical and clinical challenges of robotic surgery in high-acuity environments.

At the conclusion of this session, attendees will be able to:

• Describe the critical components and steps for developing and implementing a successful robotics program within an Acute Care Surgery framework.
• Evaluate the role of robotic-assisted techniques in the management of acute cholecystitis, ventral hernias, foregut emergencies, and colonic catastrophes.
• Evaluate the role of robotic-assisted techniques in the setting of Trauma Surgery.
• Understand the indications, contraindications, and patient selection criteria for robotics in emergent and urgent surgical settings.

5:00 PM – Building the Dock: Creating an ACS Robotic Program  

5:10 PM – Acute Cholecystitis: Is There a Robotic Advantage?   

5:20 PM – From Open to Robotic: Evolving Strategies in Acute Hernia Surgery    

5:30 PM – Redefining Urgent Foregut Surgery: The Role of Robotic Platforms  

5:40 PM – The Next Frontier: Robotic Innovation in Trauma Surgery   

5:50 PM – Q&A

Learn how Magnetic Compression Anastomosis works and how it is impacting metabolic surgery today!

Program:

• Magnetic Distalization of Roux-en-Y Gastric bypass
• Robotic Magnetic MagDI
• Magnetic Duodenojejunostomy for Superior Mesenteric Artery Syndrome
• Reversibility of Magnetic Duodeno-Ileostomy (MagDI) and Magnetic Gastro-Ileostomy (MagGI): How Simple Is It?

Discover how advances in mesh structure are shaping the long-term management of hernia as a chronic disease. This discussion will highlight self-fixating, microporous mesh – resorbable and synthetic – and its applications across open, laparoscopic, and robotic approaches.

Emerging Technology Session (Non CME)
Friday SAGES Video Reel (Non CME)
Foregut Video Session
Flex Endo Session
Education Session

Panelists: Emily Goddard Ortega, Horacio Asbun, Rocco Orlando, Archana Ramaswamy

Professional/Economic, Academic/Educational

This is a professional development session focused on exploring potential conflicts and moral injuries that can occur during one’s surgical career. All practicing surgeons and trainees are welcome to attend and learn from surgeon leaders about how they navigated challenges in their career.

At the conclusion of this session, attendees will be able to:

• Describe what moral injury is and how surgeons may encounter this during their career.
• Identify when moral injury may be occurring and when conflicts may fall into this category.
• Describe new strategies to overcome these challenges in professional practice.

8:00 AM – Welcome and Framing the Series

8:05 AM – Definitions & Concepts: What is Moral Injury, Burnout vs Moral Injury, Why Surgeons are Vulnerable

8:15 AM – Lived Experience — `A Surgeon`s Life`: Case Vignettes, Pressure to Operate, Insurance/Institutional Obstacles, Emotional Burden of Complications

8:30 AM – Potential Remedies at Individual, Team, and Systemic Levels

8:45 AM – Q&A

8:55 AM – Closing and Key Takeaways 

This session seeks to bring to light some of the controversial topics in hernia to inform surgeons on the new updates in hernia repair, mesh innovation and hernia education.

At the conclusion of this session, attendees will be able to:

• Inform surgeons of new mesh technology available and the data about its use.
• Articulate the benefits of pre-operative optimization.
• Identify certain hernia repair techniques and discuss how these may benefit patients.

8:00 AM – Mesh Location – Is iPUM Really as Bad as People Think

8:12 AM – Pre-operative Optimization: Beneficial or Potential Cause of Harm 

8:24 AM – Teaching for Advanced Abdominal Wall Reconstruction: Are Weekend Courses Enough

8:36 AM – Mesh Materials: Are Absorbable Synthetics Worth It    

8:48 AM – Skin Resection at the Time of AWR: Is It Time to Consider Cosmesis  

9:00 AM – Are We Overusing TAR: Who is This Indicated for and When    

9:12 AM – Hot Hernia Abstracts

This session highlights the SAGES-led, multicenter trial evaluating the Natural Orifice Intracorporeal Anastomosis and Extraction (NICE) procedure for left-sided colorectal surgery. The program will begin with an introduction to the trial and its significance within the SAGES research portfolio. Through a series of video-based talks, faculty will demonstrate the reproducible steps of the procedure, technical variations for completing the intracorporeal anastomosis, and strategies for infection prevention in robotic colorectal surgery. The session will also frame NICE within the IDEAL model for surgical innovation and share practical tips and lessons learned from extensive clinical experience. With its balance of trial context, technical demonstration, and innovation framework, this SAGES-led initiative offers participants both a foundation for understanding the ongoing trial and actionable insights for applying the NICE procedure in practice.

At the conclusion of this session, attendees will be able to:

• Understand the design and goals of the SAGES-led multicenter NICE trial and its role in advancing minimally invasive colorectal surgery.
• Implement the 8 definable and reproducible steps of the NICE procedure to achieve consistency in robotic colorectal surgery.
• Recognize technical variations for completing the intracorporeal anastomosis within the NICE procedure and how to apply them in practice.
• Apply evidence-based infection prevention strategies relevant to robotic colorectal surgery and understand how these will be incorporated into the NICE trial.
• Formulate the positioning of the NICE procedure within the IDEAL framework as a model for surgical innovation and adoption.

8:00 AM – Insights from the Chief Investigator: The NICE Trial

8:04 AM – Mastering the NICE Procedure – The 8 Definable and Reproducible Steps to Success   

8:14 AM – Infection Prevention in Robotic Colorectal Surgery: Setting the Stage for the NICE Trial

8:22 AM – How to Complete the Intracorporeal Anastomosis: NICE Technique Variations 

8:32 AM – NICE in the IDEAL Framework: A Model for Surgical Innovation

8:40 AM – NICE Tips & Tricks and Lessons Learned

8:47 AM – Panel Discussion/Q&A

This session is designed for foregut surgeons managing patients with recurrent reflux after fundoplication. We will cover the full spectrum of redo antireflux surgery, including preoperative counseling, diagnostic workup, strategic operative planning, and intraoperative tips and tricks. Attendees will gain practical guidance to optimize patient outcomes and navigate the challenges of the redo operation.

At the conclusion of this session, attendees will be able to:

• Counsel patients on the realistic outcomes of antireflux surgery including recurrent reflux.
• Describe the key components of a structured workup for recurrent reflux symptoms after fundoplication.
• Create a plan for a redo operation, including knowing when to apply different surgical strategies and intraoperative techniques to optimize outcomes..

9:00 AM – A Wrap on Expectations: Counseling Patients About the Long-Term Outcomes of Antireflux Surgery

9:12 AM – Unwrapping the Mystery: How to Evaluate Recurrent Symptoms  

9:24 AM – Don`t Fool Me Twice: What to do Differently During Redo Surgery (Collis, Mesh, Relaxing Incision, Gastropexy?) 

9:36 AM – The Art of the Redo: Technical Tips and Tricks for Hiatal Dissection      

9:48 AM – Q&A

Real life stories and examples that illustrate navigating difficult life situations, including: Malpractice/Lawsuit, personal injury/illness, being fired/demoted, divorce, personal loss, and professional regret.

At the conclusion of this session, attendees will be able to:

• Create a safe and supportive forum where surgeons can openly discuss personal and professional challenges that are often considered taboo.
• Highlight shared experiences of loss, transition, and vulnerability to strengthen community and reduce stigma within the surgical profession.
• Explore practical strategies and insights that help surgeons navigate adversity while maintaining personal well-being and professional growth.

9:00 AM – Malpractice/Lawsuit      

9:10 AM – Personal Injury/Illness      

9:20 AM – Pivoting After a Professional Setback

9:30 AM – Discussion on Divorce, Personal Loss, Professional Regret

Colorectal Session 4
Hot Topics in Hernia Repair (9:10)

Performing surgery in space presents some of the most extraordinary challenges in modern medicine. Microgravity environments fundamentally alter the way surgeons approach basic tasks such as tissue handling, bleeding control, and maintaining sterility. This session will introduce participants to the unique physiological and technical obstacles that arise when surgical interventions are required beyond Earth. A central focus of the session will be the role of magnets in spacecraft surgeries. The session will further explore the advantages of magnetic surgical tools during space missions. Emphasis will be placed on the safety, efficiency, and adaptability of these instruments, as well as their potential to reduce operative time and improve patient outcomes in environments where resources are limited and evacuation options are nonexistent. Case studies from experimental platforms and analog missions will demonstrate how magnetic technologies can complement robotic and tele-surgical systems, providing an essential bridge between terrestrial operating rooms and future extraterrestrial medical facilities.

At the conclusion of this session, attendees will be able to:

• Clarify how surgery is performed in zero or microgravity conditions.
• Discuss the role of magnets in spacecraft surgeries and illustrate their function.
• Explore the benefits and advantages of using magnetic tools for surgical operations during space missions.

9:00 AM – Introduction  

9:03 AM – How Magnetic Surgery Works in Microgravity Conditions: The Physical Properties of the Issue 

9:15 AM – Magneto-responsive Protein–nanoparticle Constructs for Clotting Control in Spacecraft

9:25 AM – A Gift Dedicated to the Patients: The Kiss of Adam and Eve-Magnetic Compression Anastomosis 

9:35 AM – Do We Need Magnetic Retraction in Robotic Surgery?   

9:45 AM – Q&A

The Fellowship Council has 185 programs which graduate 241 fellows a year across a variety of MIS designations. Changes in the surgical landscape have led to concerns about job availability and access after fellowship graduation. This session will highlight these challenges across the three major pillars of minimally invasive surgery: bariatrics, hernia and foregut.

At the conclusion of this session, attendees will be able to:

• Assess the evolution of fellowship training over the years in Bariatrics, Hernia and Foregut surgery.
• Identify the challenges facing graduates of the different minimally invasive fellowship specialties.

• Identify opportunities to make fellows more marketable for job opportunities after fellowship in minimally invasive surgery

9:00 AM – The Fellowship Council: Then and Now 

9:10 AM – Bariatric Surgery: Dying or Alive and Well?  

9:20 AM – Hernia Surgery: Is the MIS World Your Oyster? 

9:30 AM – Foregut Surgery: Have We Reached a Steady State? 

9:40 AM – Q&A

Residents/Fellows Session

This session will explore key considerations for using the EndoFLIP™ 300 System in the surgical setting – both before and after intervention – highlighting how functional luminal imaging helps measure what matters when anatomy alone isn’t enough. Key laparoscopic heller myotomy (LHM) and peroral endoscopic myotomy (POEM) measurements, watchouts, and recovery workflows that support smoother operations and improved patient experiences will be reviewed. Emerging insights shaping the future of endoscopic surgery will also be highlighted.

Lunch provided in room

This presentation discusses the use of perioperative IMFINZI (durvalumab) in combination with FLOT (fluorouracil, leucovorin, oxaliplatin and docetaxel), followed by adjuvant IMFINZI alone, for the treatment of resectable gastric or gastroesophageal junction adenocarcinoma (GC/GEJC). Key considerations when choosing a first-line treatment option for resectable GC/GEJC are also discussed.

Lunch provided in room

This course is designed as a hands-on training experience focused on safely performing the Single Anastomosis Duodenal Switch (SADI). Participants will receive practical instruction in key operative steps, with an emphasis on developing safe, reproducible stapling and suture techniques that consistently produce reliable outcomes. We will focus on port placement, surgical exposure, and steps of the case. The curriculum prioritizes technical precision, standardization of workflow, and strategies to minimize complications, ensuring that learners leave with the skills and confidence to apply SADI safely and effectively in their own practice.

At the conclusion of this session, attendees will be able to:

• Understand the steps of a SADI procedure.
• Demonstrate and reproduce the exposure and set-up of the operation.
• Predict and recognize abnormal anatomy and how to handle it.

1:30 PM – How to Perform a SADI in a Safe and Reproducible Manner
1:50 PM – How to Identify the Appropriate Anatomy and Exposure in a SADI Procedure 
2:10 PM – HO Course

Scientific Sessions

In today’s dynamic healthcare landscape, transformational leadership is not defined solely by outcomes, it`s shaped by the journey itself. This panel brings together surgery leaders to explore how purpose-driven leadership evolves through experience, reflection, and resilience. Panelists will share personal stories of growth, challenge, and impact, illustrating how staying connected to purpose fuels innovation, strengthens teams, and drives meaningful change. Attendees will gain insights into cultivating authenticity, navigating complexity, and empowering others all while embracing the idea that the path we walk is as important as the goals we pursue.

At the conclusion of this session, attendees will be able to:

• Examine how transformational leaders cultivate and sustain a sense of purpose for themselves, their teams, and their organizations through ongoing personal and professional journeys.
• Discuss actionable strategies leaders use to inspire change, foster resilience, and align organizational goals with individual values and mission.

• Analyze how purpose-driven leadership influences

2:30 PM – Introduction
2:35 PM – The Role of Purpose in Leadership
2:45 PM – Strategies for Transformational Impact: The Bridge Between Leadership and Organizational Culture 
2:55 PM – Empowering Emerging Leaders
3:05 PM – Panel Discussion: Personal Leadership Journeys

Foregut Session 4
Unusual Hernia Video Session

This will be a video session featuring four catastrophic videos. Each case will feature discussion about what you would have done, followed by the real-world ending and relevant literature review. This will be a dynamic way of looking at case examples with the experts!

At the conclusion of this session, attendees will be able to:

• Identify some common intra-operative catastrophes encountered during foregut surgery.
• Implement appropriate surgical techniques and apply sound surgical principles when dealing with intraoperative misadventures during foregut surgery.
• Articulate different surgical options when faced with significant technical challenges.

4:00 PM – Introduction

4:01 PM – The 4th – 5th Redo Esophageal Perforation Case 

4:08 PM – Discussant – Esophageal Perforation 

4:10 PM – The 4th – 5th Redo Esophageal Perforation Finale 

4:13 PM – The Dead Stomach Case 

4:20 PM – Discussant – Dead Stomach

4:22 PM – The Dead Stomach Finale   

4:25 PM – The Bleeding is Outta Control Case 

4:32 PM –  Discussant – Bleeding Outta Control 

4:34 PM – The Bleeding is Outta Control Finale 

4:37 PM – The Impossible Hiatus Case

4:44 PM – Discussant – Impossible Hiatus

4:46 PM – The Impossible Hiatus Finale 

4:49 PM – Q&A

This session will explore the critical issue of career transitions for late-career surgeons, balancing their invaluable expertise with the realities of aging and patient safety. As the surgical workforce faces a projected shortage, optimizing the contributions of senior surgeons while ensuring competency is essential. Aging can impact cognitive processing, dexterity, and reaction time, necessitating structured assessments and support systems. However, institutional and cultural barriers often make transitions challenging, creating resistance to modified roles. This session will address these challenges and present strategies to facilitate smooth career adaptations.

The discussion will cover key topics, including self-assessment tools, ethical and patient safety considerations related to cognitive and psychomotor changes, and best practices for evaluating senior surgeons. Additionally, the session will explore alternative career pathways beyond the operating room, such as mentorship, teaching, research, and leadership roles that leverage the deep expertise of senior surgeons. Addressing institutional barriers, speakers will discuss structured transition programs, sustainable financial models, and ways to foster a culture that values late-career contributions. The 60-minute session will feature three expert speakers covering different aspects of career transition: recognizing the impact of aging on surgical performance, assessing cognitive and psychomotor changes, exploring non-clinical and hybrid roles, overcoming cultural and institutional challenges, developing personal strategies for career longevity, and showcasing successful programs that integrate late-career surgeons into healthcare systems. The session will conclude with a panel discussion and audience Q&A, allowing for an interactive exchange of ideas. By addressing both the challenges and opportunities for late-career surgeons, this session aims to provide actionable insights to optimize their continued contributions to surgery, education, and healthcare leadership.

At the conclusion of this session, attendees will be able to:

• Assess tools for cognitive and psychomotor assessment of surgeon performance.
• Identify career transitions for late career surgeons as they age.
• Recommend options for medical staff to ensure surgical quality and provide opportunities for continued contributions by older surgeons.

4:00 PM – Introduction

4:02 PM – Evaluating the Late Career Practitioner 

4:14 PM – Strategies for Assessing Psychomotor Function in Aging Surgeons

4:29 PM – Your Role as the Chief – Identifying New Opportunities for Senior Surgeons 

4:44 PM – Panel Discussion

The management of hernia disease in community settings is characterized by variability in practice patterns when it comes to incorporation of evidence-based practice, limited standardization, and inconsistent and/or unreported patient outcomes. This session will outline strategies to develop and implement a structured hernia program within a community hospital or regional health system. Emphasis is placed on incorporating evidence-based pathways, integrating a multidisciplinary approach, and standardizing protocols for preoperative evaluation, operative technique, and postoperative care. Presenters will discuss the role of outcomes tracking, quality improvement initiatives, and patient education in enhancing program efficacy. The session will also address logistical, administrative, and financial considerations unique to community-based practices, offering strategies to overcome barriers and ensure long-term sustainability. Attendees will gain a framework for translating institutional-level best practices into scalable models suited for community environments.

At the conclusion of this session, attendees will be able to:

• Understand the Value of a Structured Hernia Program.
• Identify Key Components for Program Development.
• Incorporate Financial and Logistical Considerations.

• Establish Indicators for Program Effectiveness, Monitoring, and Long-term Sustainability.

4:00 PM – Why Hernia Programs Matter 

4:10 PM – Optimizing Hernia Coding: Enhancing Accuracy and Efficiency for Optimal Reimbursement

4:20 PM – Hernia Databases: Tracking Outcomes 

4:30 PM – Preoperative Optimization and Enhanced Recovery Pathways in a Community Setting

4:40 PM – Integrating Expertise: Enhancing Patient Care Through Multidisciplinary Collaboration in Community Hernia Centers

4:50 PM – Q&A

As primary anastomosis with or without diverting loop ileostomy has become prominent in amenable emergent cases, new debates have emerged in the future and advancement of surgical diverticulitis management. The session will be a high-level review of the evidence supporting these modern debates.

At the conclusion of this session, attendees will be able to:

• Learn the technical differences between robotics and laparoscopy in the use for emergent/urgent diverticulitis cases.
• Recognize the clinical situations to consider laparoscopic lavage.
• Demonstrate the surgical outcomes at differing times to Hartmann`s Reversal

4:00 PM – Hartmann’s Procedure is Still Necessary  

4:08 PM – No One Wants a Hartmann’s  

4:16 PM – Laparoscopy Over Robotics for Emergent/Urgent Diverticulitis Surgery

4:24 PM – Robotics Over Laparoscopy for Emergent/Urgent Diverticulitis Surgery  

4:32 PM – Pro: A Role Exists for Laparoscopic Lavage

4:40 PM – Con: No Role Exists for Laparoscopic Lavage  

4:48 PM – Q&A

This session will bring together experts in academic surgery, health system leadership, and finance to discuss the realities of today`s funding landscape and practical strategies to build resilience. Talks will highlight how historical reliance on institutional subsidies is no longer sustainable, outline the risks of overdependence on any single funding source, and explore emerging models for sustaining departmental strength. Speakers will provide case examples of how departments have responded to financial contraction, including efforts to right-size operations, renegotiate institutional agreements, and develop more robust partnerships with hospitals and health systems.

At the conclusion of this session, attendees will be able to:

• Describe the traditional funding models for surgical departments and analyze the current challenges posed by reduced institutional support, shrinking research dollars, and tightening reimbursement.
• Apply approaches to optimize the profitability of the clinical mission while balancing financial sustainability with education and research priorities.
• Evaluate strategies to enhance departmental resilience, including diversification of revenue streams, philanthropy, industry partnerships, and hospital collaborations.

4:00 PM – Introduction

4:02 PM – How Have Institutions Funded Academic Activities in Surgical Departments, Historically?

4:12 PM – What’s New: Factors in the Local, Regional, or Federal Environment Affecting Academic Funding 

4:22 PM – Maximizing Profitability of Clinical Services to Support Academic Missions 

4:32 PM – Diversifying Revenue Streams through Philanthropy, Foundations, Innovation, Industry Partnerships and More!

4:42 PM – Panel Discussion   

Miscellaneous Session (Non CME)

Foregut Session 3
Bariatric Session 4
Transplant Hernia Session
Colorectal Session 5
HPB/Acute Care Session 3

This will be a video session featuring four catastrophic videos. Each case will feature discussion about what you would have done, followed by the real-world ending and relevant literature review. This will be a dynamic way of looking at case examples with the experts!

At the conclusion of this session, attendees will be able to:

• Articulate different surgical options when faced with significant technical challenges.
• Identify some common intra-operative catastrophes encountered during foregut surgery.
• Implement appropriate surgical techniques and apply sound surgical principles when dealing with intraoperative misadventures during foregut surgery.

With projected physician and surgeon shortages in the future, this program is timely and hopefully will promote early decisions to join our noble profession. The day is power-packed with expanded hands-on skill lab, and the Top Gun Interactive Experience. Both cognitive and skill competitions with awards and prizes will be offered. The SAGES Mini Medical School is designed to expose high school students to the field of Surgery through hands-on experience and simulation. Students will begin to appreciate that being in the OR is rewarding, important work, and fun. To maximize exposure, real-life surgeons/volunteers will mentor the students throughout the program. The Mini Medical School Experience is a power-packed extravaganza that provides fun with a purpose. Students will have the opportunity to show that they have the “right stuff” to join the ranks of physicians and laparoscopic surgeons. From video games that help decrease errors, to robots, to FLS and Top Gun surgical simulation drills.

Includes a Scientific Session

This session is for trainees and any general surgeons who are taking care of bariatric patients. The topics covered are common complications that occur in bariatric surgical patients and allow for care for these patients to not be delayed.

At the conclusion of this session, attendees will be able to:

• Apply knowledge of bariatric anatomy to address common surgical and nutritional complications.
• Employ strategies to use surgical and endoscopic tools to make diagnostic and therapeutic treatments for bariatric patients.
• Employ best practices to make informed decisions about strictures, obstructions, and perforations seen in bariatric surgery patients.

10:00 AM – Introduction 

10:05 AM – How to Approach Internal Hernias in a SADI or DS

10:15 AM – Surgical and Endoscopic Treatment of Marginal Ulcers 

10:25 AM – Stenosis and Obstructions in Bariatric Surgeries  

10:35 AM – Reflux in Sleeve Gastrectomy, Now What?  

10:45 AM – Severe Malnutrition/Liver Failure 

10:55 AM – Management of Gallbladder Disease in Patients with Bariatric Anatomy

11:05 AM – Q&A

Everyone is talking about AI as a `’game-changer’ for modern surgery — but where do you begin? While the number of academic publications around surgical AI is skyrocketing, routine clinical integration of AI-based surgical decision support is still missing. Beyond infrastructural and financial barriers, many surgeons lack familiarity with the basic principles, applications, and limitations of artificial intelligence, reinforcing the field`’s perception as a `black box. This AI 101 session cuts through the hype and returns to basics, translating core concepts into practical tools for preoperative planning, intraoperative decision support, smarter documentation, and clearer patient communication. We provide a practical yet accessible introduction to AI tailored for surgeons, highlighting how these technologies are poised to improve surgical quality, patient safety, and surgical training in the future, while inevitably influencing our daily practice. Moreover we explore technical and infrastructural requirements and challenges to clinical translation of AI into the average operating room.  You`ll leave with safety-and-ethics guardrails and a practical roadmap to integrate digital surgery into your practice.

At the conclusion of this session, attendees will be able to:

• Define fundamental AI concepts relevant to surgery (model types, data quality, validation metrics) and distinguish hype from practical, clinically useful applications.
• Apply at least one AI-enabled tool to a target workflow by mapping inputs/outputs, integration points, and failure modes.
• Design a safe, ethics-aware pilot at their institution by setting selection criteria, privacy/bias safeguards, and measurable outcomes, and drafting a 30-day implementation roadmap.

10:00 AM – Introduction and Definitions of Terms

10:05 AM – The Evolving Understanding and Role of Data

10:15 AM – Large Language Models – Beyond ChatGPT

10:30 AM – Agents – What Exactly is Agentic AI? 

10:45 AM – Computer Vision for Intraop Decision Support – Where are We Now?  

11:00 AM – Ethical Considerations in Implementation, Research, and Use of AI in Clinical Practice

11:15 AM – Panel Discussion

Join us for a broad discussion regarding ventral hernia approaches and repairs. We will review optimization strategies, hernia radiology and applications, as well as implant data and acute care tips.

At the conclusion of this session, attendees will be able to:

• Discuss the role of preoptimization in reducing complications and recurrences including in the setting of obesity, smoking, and diabetes.
• Apply preoperative imaging to optimize ventral hernia repair by evaluating anatomy, defect size, and previous mesh for both primary and revisional cases.
• Classify mesh and suture properties and understand principles of implant selection for ventral hernia repair.
• Recognize challenges in addressing ventral hernias in the acute setting and construct a surgical plan for different acute care scenarios.

10:00 AM – Pre-operative Optimization for Ventral Hernia Repair: How to Plan the Right Operation for the Right Patient

10:20 AM – How to Use Imaging to Plan Your Next Hernia Repair

10:40 AM – Abdominal Wall Implants: Mesh and Suture Pearls  

11:00 AM – Ventral Hernias in the Acute Care Setting

11:20 AM – Q&A

The SAGES Fundamentals Programs present unique opportunities to study, practice and demonstrate basic competency in important areas of skills and knowledge critical to successful surgical practice. The Fundamentals of Laparoscopic and Endoscopic Surgery programs are mandated for surgical residents and are evolving to keep pace with training needs and changes in practice. Fundamental Use of Surgical Energy represents a comprehensive and accessible standard to gain competency is use of surgical energy devices. The Fundamentals of Robotic Surgery program is newly acquired by SAGES and is under development aimed to provide a competency standard similar to FLS and FES.  This session will provide surgical education leaders, teachers and learners up-to-date reports on the development status of each of these important programs. The leaders of each Fundamentals program will define how they currently deliver educational opportunities and how they will further benefit learners in the immediate future.

At the conclusion of this session, attendees will be able to:

• Describe two major areas of educational quality improvement in each of the FLS and FES programs.
• Identify how FUSE can improve surgeon performance as either a standalone program or as an integrated component of other Fundamentals programs.
• Appraise the opportunities for FRS implementation as a new SAGES Fundamentals program.

10:00 AM – FLS: What`s Here and What`s on the Way? 

10:18 AM – FES: 2025 and Beyond  

10:36 AM – FUSE Training for a Safer Operating Room

10:54 AM – FRS: The New Kid on the Block  

11:12 AM – Q&A

Scientific Session

This session will explore the latest advancements in minimally invasive bariatric interventions, with a focus on innovative primary and revisional procedures. Experts will discuss the current state and evolving role of primary endoscopic bariatric therapies, including endoscopic sleeve gastroplasty, and examine outcomes and techniques for primary magnetic anastomotic bariatric cases. Additionally, the session will address the growing need for revisional interventions following both endoscopic and magnetic procedures, offering insights into patient selection, technical considerations, and long-term management strategies. Attendees will gain a comprehensive overview of cutting-edge approaches shaping the future of obesity treatment.

At the conclusion of this session, attendees will be able to:

• Describe the techniques, indications, and outcomes associated with primary endoscopic and magnetic anastomotic bariatric procedures.
• Recognize appropriate candidates and strategies for revisional interventions following endoscopic or magnetic bariatric surgery.

12:00 PM – Introduction  

12:05 PM – Expanding the Toolkit: Novel Endoscopic Procedures for Primary Bariatric Treatment 

12:15 PM – Magnetic Innovations: Primary Bariatric Outcomes with Magnetic Anastomotic Techniques

12:25 PM – Choosing the Right Path: Laparoscopic vs Endoscopic Approaches for Revisional Bariatric Surgery

12:35 PM – Technical Strategies for Revisional Bariatric Procedures: Navigating Complexity in Post-Endoscopic and Magnetic Cases

12:45 PM – Group Discussion and Q&A

Preoperative evaluation for anti reflux surgery may seem basic, but knowledge of when to order preoperative tests and how to interpret results is imperative for good patient outcomes.  In this session, experts in the field will review the gold standards of the preoperative workup for anti reflux surgery, discuss newer diagnostic modalities such as mucosal impedance testing and endoflip assessment and when to use them, and will discuss the role artificial intelligence may play in the future evaluation of GERD.  This session is ideal for the new surgeon hoping to build a foregut practice and for the experienced surgeon thinking about adding novel assessment tools to their armamentarium for evaluating patients considering anti-reflux surgery.

At the conclusion of this session, attendees will be able to:

• Understand the role of the esophagram in evaluation for anti reflux surgery.
• Understand how operative indications for type 1 versus type 2-4 paraesophageal hernias differ.
• Understand the role of novel assessment methods such as mucosal impedance testing and Endoflip in the presurgical evaluation of GERD.

12:00 PM – The Role of the Esophagram in Preoperative Workup for GERD – What it Can and Can`t Tell You 

12:10 PM – ‘Sliding’ Hiatal or Paraesophageal Hernia – How Should the Work Up and Operative Indications Differ?

12:20 PM – Gold Standard vs Novel Methods for Assessment for GERD: What`s the Evidence?

12:30 PM – Who Should Have an Endoflip Assessment? Who Should be Performing It? 

12:40 PM – Artificial Intelligence in Reflux Assessment: Is There a Role?  

12:50 PM – Q&A

This session will focus on the management of hernia pathology in the emergent setting. We will explore the more `typical` inguinal and ventral hernias as well as less common scenarios such as operating on complex abdominal wall patients and difficult fascial closures. Finally, we will discuss the use of minimally invasive techniques in the emergent setting.

At the conclusion of this session, attendees will be able to:

• Describe the best approach for inguinal and ventral hernias in the emergent setting.
• Gain strategies for atypical emergent hernia scenarios.
• Evaluate the appropriateness of minimally invasive techniques in emergent hernias.

12:00 PM – Ventral/Incisional Hernia Emergencies — Decision-making & Mesh in `Dirty` Reality

12:10 PM – Groin (Inguinal/Femoral) Emergencies — When Things Go Wrong Down Below  

12:20 PM – Getting Out of Trouble — When Things Get Complicated 

12:30 PM – Straight Sticks and Bots in the Middle of the Night – When to Use MIS in Hernia Emergencies 

12:40 PM – Panel Discussion

Leaning on the experiences of surgeons who have recently entered practice to gain insight into your future as a freshly minted surgeon.  Each case study will highlight a central aspect of early surgical practice and the do`s and dont`s for navigating these issues.  The session will also include the perspective of executives to better align the growth of the new surgeon to the needs of a healthcare system.

At the conclusion of this session, attendees will be able to:

• Identify principal issues encountered early in a surgical practice.
• Construct frameworks for navigating the first 3 years of practice.
• Formulate plan for continued growth in a healthcare system.

12:00 PM – Compensation: Knowing What I Do Now, Would I Have Done Something Different 5 Years Ago? 

12:10 PM – Wisdom From My First Year of Independent Practice

12:20 PM – New Surgeon In Town: Am I Experiencing Growing Pains or Buyer`s Remorse?

12:30 PM – What Does the Hospital System Need from Its Surgeons

12:40 PM – Q&A

This is the inaugural SAGES/ASDDI (American Society of Digestive Disease Interventions) joint symposium. This collaboration brings together experts in minimally invasive surgery, interventional radiology, and gastroenterology with a vision of optimizing patient care through multidisciplinary input.

At the conclusion of this session, attendees will be able to:

• Develop an optimal multidisciplinary strategy for patients with complex gastrointestinal bleeding.
• Appropriately diagnose, treat, and rescue patients with low malignant potential pancreatic neuroendocrine tumors.
• Recognize and implement multiple strategies for managing biliary stone disease in 2026.

12:00 PM – Introduction of Inaugural SAGES/ASDDI Joint Symposium

Session 1: Gastrointestinal Bleeding

12:15 PM – Variceal Bleeding: An Interventional Radiology Update

12:30 PM – Endoscopic Management of Gastrointestinal Bleeding, New Tools and Techniques in 2026

12:45 PM – Obscure GI Bleeding: When is a Surgeon Needed?    

1:00 PM – Tough Bleeding Case Presentation and Panel Discussion  

Session 2: Multidisciplinary Management of Low Malignant Potential Pancreatic Neuroendocrine Tumors

1:20 PM – How to Manage Small Pancreatic Lesions Endoscopically

1:35 PM – PNET: When to Operate? An Update on Guidelines

1:50 PM – Image Guided Rescue Options After Pancreatic Interventions: An Interventional Radiologist Perspective

2:05 PM – Challenging PNET Case Presentation and Panel Discussion  

Session 3: No Stone Unturned, Biliary Stone Management in 2026

2:25 PM – The Role of Gastroenterology in Management of Choledocholithiasis in Altered GI Anatomy

2:40 PM – Update on Image Guided Evaluation and Management of Complex Biliary Stone Disease

2:55 PM – Is Choledocholithiasis Still a Surgical Disease?  

3:10 PM – Challenging Biliary Case in Altered GI Anatomy Presentation and Panel Discussion   

Foregut Session 4
Unusual Hernia Video Session

This session will cover challenges and best practices involved with balancing robotics and laparoscopy in surgical training programs. The perspectives of surgical leadership, program directors and recent graduates will provide valuable information for trainees, teachers and practicing MIS surgeons. These transformative technologies have changed surgical practice and have also called upon our profession to rethink surgical training. Lessons learned will be valuable as we continue to address the introduction of new technologies into surgical care.

At the conclusion of this session, attendees will be able to:

• Articulate a plan to balance the training of laparoscopy and robotics in residency programs and fellowships.
• Recognize how lessons learned from the introduction of laparoscopy and robotics can be used to prepare for the next technological revolution in surgical care.
• Prospective fellows will be able to use information from this session to better prioritize available training options and to meet their career goals.

1:00 PM – Introduction 

1:05 PM – Introducing Transformative Surgical Technology into Surgical Training: A Historic Perspective

1:15 PM – Perspective from an MIS Fellowship Program Director

1:25 PM – Perspective on Training from a Recent Fellowship Graduate   

1:35 PM – Incorporating Robotic Surgery Training in a Resource-Constrained Environment 

1:45 PM – Discussion/Q&A

Enhanced Recovery After Surgery (ERAS) has transformed the perioperative care of colorectal patients, yet successful implementation requires ongoing attention to fundamentals. This session revisits the core principles of ERAS and examines their impact on outcomes that matter most to patients. Expert speakers will explore the evolution of ERAS pathways, the integration of patient-reported outcomes into quality improvement, strategies to overcome barriers to adoption, and the role of data and technology in shaping the future of recovery protocols. Through case examples and practical insights, attendees will gain a renewed understanding of how ERAS can drive better, more patient-centered results in colorectal surgery.

At the conclusion of this session, attendees will be able to:

• Describe the core principles and evidence base of Enhanced Recovery After Surgery (ERAS) pathways in colorectal surgery.
• Analyze the impact of ERAS on both traditional clinical outcomes (e.g., complications, length of stay) and patient-reported outcomes (e.g., functional recovery, quality of life).
• Identify common barriers to ERAS implementation and apply practical strategies to improve adherence and sustainability across multidisciplinary teams.
• Evaluate emerging tools and future directions—including digital health, registries, and personalized care approaches — for optimizing ERAS protocols and patient-centered outcomes.

1:00 PM – Introduction 

1:02 PM – Foundations of ERAS in Colorectal Surgery

1:14 PM – Measuring What Matters: Patient-Centered Outcomes

1:26 PM – Overcoming Barriers to Implementation and Sustainability

1:38 PM – The Future of ERAS: Data, Technology, and Personalization

1:50 PM – Q&A

Bariatric Session 5
Foregut Session 5
HERnia, Outcomes, Prehab Session
Colorectal Session 6