Since 2002, robot-assisted urologic surgery has replaced a significant number of open surgical pelvic procedures, such as radical prostatectomy and radical cystectomy. The percentage of robotic procedures has been increasing ever since. When new technology-associated procedures are introduced, there is an associated learning curve, and, as a direct consequence, an associated number of complications. Being an expensive and high-profile technology, robotic lower urinary tract surgery has undergone a disproportionately higher scrutiny, and all users of robotic surgery should be cognizant of this trend. This chapter reviews the complications associated with robotic surgical procedures, especially those related to patient positioning as well as intraoperative and postoperative adverse events, and discusses management strategies.