Video recording of laparoscopic surgeries enhances medical education, training, and documentation, fostering knowledge dissemination and advancing surgical techniques. Examining successful operations aids in error identification, improving surgeon preparedness. The dynamic operating room environment, with various influencing factors, prompts studies on video recording's impact, with results showing enhanced procedural quality awareness. Routine adoption of intraoperative video capture, particularly in minimally invasive approaches, faces challenges despite technological advancements, with privacy concerns suggesting the need for deidentified video solutions. This paper presents and describes the development of Life Surgery Box—a Brazilian multi-modal and synchronized image video recorder to be used in operating rooms and medical offices. Hardware and software architectures are presented, as well as prototyping, tests, and results.