Foregut surgery has emerged as a new discipline in recent years, gaining attention at home and abroad. It mainly focuses on benign diseases of the stomach and esophagus, covering conditions such as gastroesophageal reflux disease, achalasia, and bariatric metabolic surgery. However, in some countries, foregut surgery also includes malignant diseases, such as esophageal and gastric cancers. Robotic surgery, one of the most advanced techniques available, is increasingly applied in clinical practice. The unique ergonomic design of robotic surgical systems allows surgeons to control the instruments with greater precision and finesse, thereby minimizing damage to surrounding vital tissues and organs. Robotic surgery is gradually becoming a major focal point in the field of anterior foregut surgery. However, its current limitations in China include high equipment and maintenance costs, as well as strict requirements for operator qualifications and operating room conditions. As robotic technology continues to develop and improve, it is expected that robot-assisted surgery will play an increasingly important role in foregut surgery, helping doctors improve the quality of surgery and provide better treatment outcomes for patients.