Introduction The use of robotic surgery for advanced ovarian cancer is non-standard and controversial. The aim of this study was to explore and compare current public and professional opinions and experiences of the use of robotic surgery for ovarian cancer.

Methods An international study of robotic surgery for ovarian cancer via an anonymous web-based survey using Qualtrics^XM (Qualtrics, Provo, Utah, USA) available online between April 2021 and October 2021. Data analysed using Excel and Qualtrics Text IQ. Qualitative data analysed using inductive thematic framework analysis. Favourable ethical opinion: University of Surrey Ethics Committee (University of Surrey Ref: FHMS 20-21 122 EGA).

Results 232/443 responses received were complete representing 17 different countries. Overall when assessing responses from all survey respondents (n=232); positive correlations were noted between increasing age and valuing reduced pain (p=0.0125), reduced post-operative complications (p=0.0004), spending less time in hospital (p=0.0003) and quicker recovery (p=0.00006). Women living with or who have had ovarian cancer rated having reduced risk of post-operative complications significantly higher than health-professionals (p=0.00703). Qualitative analysis revealed a genuine concern regarding what or who was in control of the surgery.

Conclusion/Implications Overall, this study has shown the acceptability of robotic surgery for ovarian cancer. Improved education of both patients, laypersons and health professionals, is required regarding robotic surgery, to help dispel myths and provide accurate information on the potential risks and benefits of robotic surgery for advanced ovarian cancer. The information gained from this study is being used to inform the design of our forthcoming MIRRORS RCT and associated participant information.