Laparoscopic surgery has become an essential part of the surgical treatment for gynaecological conditions including malignancy. This chapter describes the use of conventional laparoscopic surgery in gynaecological cancer, the advantages and disadvantages of robotic surgery, and the feasibility and outcomes of the use of robotics in gynaecological cancer surgery. The da Vinci Surgical System is equipped with a three-dimensional vision system. Robotic surgery is well suited to virtual reality training as the operation is computer guided. 3D virtual reality images can be projected into the console of the robot. A number of virtual reality training simulators have been created. Several authors have reported that robotically assisted staging surgery in endometrial cancer is comparable to conventional laparoscopic and open laparotomy approaches in terms of surgical outcomes. A phase III randomised clinical trial comparing laparoscopic with robotically assisted surgery in women with early-stage cervical cancer is under way.