This chapter aims to explore the main ethical implications of AI into robotic surgery. Drawing on the core principles of medical ethics—beneficence, non-maleficence, autonomy, and justice—, it outlines the ideal profile of the human surgeon: a professional equipped with technical expertise, adaptability, emotional self-regulation, and rational decision-making abilities under unpredictable circumstances. On this basis, the chapter examines whether, and to what extent, these human qualities can be simulated or even surpassed by intelligent machines. Currently, AI-enhanced surgical robots operate under human supervision. However, ongoing technological advancements point toward a gradual increase in their decision-making autonomy. This emerging scenario raises critical ethical questions: can we entrust machines with real-time, life-and-death decisions in the absence of consciousness, empathy, or moral accountability? While AI demonstrates remarkable competence in logical-analytical reasoning and in the rational management of unforeseen events, concerns remain regarding its ability to establish a relationship of trust with patients, a relationship grounded not only in technical proficiency, but also in empathy and ethical motivation. The chapter will also address the paradox whereby emotionality—something the human surgeon is expected to control in the operating room—may be perceived as a significant absence in machines, potentially hindering their full acceptance by patients. Nonetheless, the possibility that patients may develop emotional attachments to intelligent machines will also be considered, as well as the role of representation and aesthetics in promoting the social integration of robotic technologies.