HCA Healthcare is a world leader in robotic surgical procedures, performing over 100,000 cases in the U.S. and United Kingdom each year. HCA Healthcare’s national Robotic Service Line includes over 135 hospitals and approximately 250 of the world’s most advanced robotic systems.

At St. David’s HealthCare, we offer access to the Texas Institute for Robotic Surgery (TIRS), an innovative infrastructure helping hospitals and physicians deliver the most technologically advanced and safe robotic surgery experience. The Institute has accomplished this by developing and studying the largest robotics surgery database in the world, with data spanning every aspect from administration through robotics surgical technique.

Specifically, TIRS:

  • Creates real-time data analytics based on the world’s largest integrated database for robotic surgery, incorporating quality, training, performance, cost and reimbursement data
  • Provides information and proven robotic surgery strategies to its Network Hospitals
  • Trains affiliated surgeons and hospital team members using the most advanced robotic technology and best practices

Our precision, skill and comprehensive data join forces to benefit hospitals, surgeons and ultimately, robotic surgery patients.

Located in Austin, TIRS works hand in hand with our sister Texas hospitals to assist in building robotic surgery strategies and programs to meet their goals while adhering to the safest and most innovative and efficient robotic surgery techniques and protocols.

Learn more about our robotic surgery services.

Advanced technology

Our leading-edge surgical platforms provide benefits to both our surgeons and patients. Our surgeons are able to perform procedures with greater precision, improved visualization and enhanced dexterity, while our patients experience reduced complication rates, shorter hospital stays and minimal scarring.

The da Vinci surgical system gives surgeons an advanced set of instruments to perform robotic-assisted minimally invasive surgery. Using instruments in real-time, this system delivers a highly magnified, 3D high-definition view of the surgical area, making it possible to operate through one or few small incisions.

With Mako SmartRobotics™, patients with joint pain have an innovative solution. Using a 3D computerized tomography-based software, our team of physicians can create personalized joint replacement surgical plans. Also committed to exceptional surgical outcomes, the ROSA Knee System assists surgeons with bone resections and implant positioning facilitation.

For patients in need of specialized pulmonary procedures, our MONARCH® platform uses various technologies to give physicians greater control and vision during procedures, especially during biopsies. ­­Additionally, Ion, a platform of Intuitive, offers robotic-assisted minimally invasive biopsy options, allowing surgeons to plan, navigate and perform the procedure with integrated system data.­

Texas Institute for Robotic Surgery leadership team

Thomas Payne, MD, FACOG</strong> — Executive Director headshot

Thomas Payne, MD, FACOG
— Executive Director 

Dr. Payne joined HCA Healthcare in 2011 as the executive director of the Texas Institute for Robotic Surgery. In January 2016, Dr. Payne was named HCA Healthcare’s National Medical Director for Robotics, while retaining his position as executive director. 

His work as a surgeon and educator has helped patients and surgeons worldwide in thousands of robotic gynecologic cases. His primary passions are to champion advancements in the surgical sciences and to perform, assist and teach complex robotic surgery. 

Luis E. Hernandez</strong> — Director of Operations headshot

Luis E. Hernandez
— Director of Operations

Luis E. Hernandez serves as the director of operations at the Texas Institute for Robotic Surgery. He holds masters of business administration in Management and Healthcare Administration as well as a bachelor’s of science in Nursing. 

Beginning his career in the military, Luis developed a focus on robotic surgery, circulating as a registered nurse in hundreds of robotic cases and successfully producing predictability models for robotic inventory and operating room time management. 

Luis enjoys working alongside our nurses, surgical techs and surgeon to establish and maintain the gold standard for robot-assisted surgery in our operating rooms and give patients the absolute best care possible.

Tammy Henderson Administrative Assistant

Tammy Henderson
—Administrative Assistant

As the Executive Administrative Assistant for the Texas Institute for Robotic Surgery, Tammy Henderson performs all administrative duties for TIRS. In addition, Mrs. Henderson is the host for Robotic Case Observations and the organizer of special events at TIRS.

Mrs. Henderson started her career with HCA in 2012 with the Patient Access Department at St. David’s South Austin Medical Center. She then moved over to St. David’s Surgical Hospital when it opened its doors in 2016.

Before joining HCA, Tammy was an Executive Assistant for Consolidated Freightways and Roadway Express.

National Hospitals

Over 135 hospitals located throughout the nation provide surgery data to the HCA Robotic Service Line, including quality measures, surgical team performance, cost and reimbursement. We use this information to share best practices for delivering excellence within our facilities.

The following hospitals participate:

  • Alaska Regional Hospital
  • Allen County Hospital
  • Bayshore Medical Center
  • Belton Regional Medical Center
  • Brigham City Community Hospital
  • Cartersville Medical Center
  • Centennial Medical Center
  • Centerpoint Medical Center
  • CJW Medical Center
  • Coliseum Medical Center
  • Coliseum Northside Hospital
  • Colleton Medical Center
  • Conroe Regional Medical Center
  • Dauterive Hospital
  • Del Sol Medical Center
  • Doctors Hospital of Augusta
  • Eastern Idaho Regional Medical Center
  • Eastside Medical Center
  • Fairview Park Hospital
  • Frankfort Regional Medical Center
  • Garden Park Medical Center
  • Good Samaritan Hospital
  • Grand Strand Regional Medical Center
  • Greenview Regional Hospital, Bowling Green
  • HCA Florida Aventura Hospital
  • HCA Florida Bayonet Point Hospital
  • HCA Florida Blake Hospital
  • HCA Florida Brandon Hospital
  • HCA Florida Capital Hospital
  • HCA Florida Englewood Hospital
  • HCA Florida Fawcett Hospital
  • HCA Florida Fort Walton-Destin Hospital
  • HCA Florida Gulf Coast Hospital
  • HCA Florida JFK Hospital
  • HCA Florida Kendall Hospital
  • HCA Florida Lake City Hospital
  • HCA Florida Lake Monroe Hospital
  • HCA Florida Largo Hospital
  • HCA Florida Largo West Hospital
  • HCA Florida Lawnwood Hospital
  • HCA Florida Mercy Hospital
  • HCA Florida North Florida Hospital
  • HCA Florida Northside Hospital
  • HCA Florida Northwest Hospital
  • HCA Florida Oak Hill Hospital
  • HCA Florida Ocala Hospital
  • HCA Florida Osceola Hospital
  • HCA Florida Palms West Hospital
  • HCA Florida Pasadena Hospital
  • HCA Florida Poinciana Hospital
  • HCA Florida Raulerson Hospital
  • HCA Florida Sarasota Doctors Hospital
  • HCA Florida South Shore Hospital
  • HCA Florida South Tampa Hospital
  • HCA Florida St. Lucie Hospital
  • HCA Florida St. Petersburg Hospital
  • HCA Florida Trinity Hospital
  • HCA Florida Twin Cities Hospital
  • HCA Florida University Hospital
  • HCA Florida West Hospital
  • HCA Florida West Tampa Hospital
  • HCA Florida Westside Hospital
  • Hendersonville Medical Center
  • Henrico Doctors Hospital
  • Horizon Medical Center
  • John Randolph Medical Center
  • Kingwood Medical Center
  • Lafayette Regional Health Center
  • Lakeview Hospital
  • Lakeview Regional Medical Center
  • Las Palmas Medical Center
  • Lee’s Summit Medical Center
  • LewisGale Hospital – Alleghany
  • LewisGale Hospital – Montgomery
  • LewisGale Hospital – Pulaski
  • LewisGale Medical Center
  • Lone Peak Hospital
  • Los Robles Hospital & Medical Center
  • Mainland Medical Center
  • Medical City Arlington
  • Medical City Dallas
  • Medical City Denton
  • Medical City Fort Worth
  • Medical City Las Colinas
  • Medical City Lewisville
  • Medical City McKinney
  • Medical City North Hills
  • Medical City Plano
  • Menorah Medical Center
  • Methodist Hospital
  • Methodist Specialty & Transplant Hospital
  • Methodist Stone Oak Hospital
  • Methodist Texsan Hospital
  • Metropolitan Methodist Hospital
  • Mountain View Hospital
  • Mountainview Hospital
  • North Suburban Medical Center
  • Northeast Methodist Hospital
  • Ogden Regional Medical Center
  • Our Lady of Lourdes Women’s and Children’s Hospital
  • Overland Park Regional Medical Center
  • Parkland Medical Center
  • Parkridge East Hospital
  • Parkridge Medical Center
  • Parkridge West Hospital
  • Parkridge West Legacy
  • Portsmouth Regional Hospital
  • Presbyterian St. Luke Medical Center
  • Rapides Regional Medical Center
  • Redmond Regional Medical Center
  • Regional Medical Center of San Jose
  • Research Medical Center
  • Reston Hospital Center
  • Rio Grande Regional Hospital
  • Riverside Community Hospital
  • Rose Medical Center
  • Sky Ridge Medical Center
  • Skyline Medical Center
  • Southern Hills Medical Center
  • Southern Hills Medical Center – Las Vegas
  • Spotsylvania Regional Medical Center
  • Mark’s Hospital
  • Stonecrest Medical Center
  • Summit Medical Center
  • Sunrise Hospital & Medical Center
  • Swedish Medical Center
  • Terre Haute Regional Hospital
  • The Medical Center of Aurora
  • Timpanogos Regional Medical Center
  • Trident Regional Medical Center
  • Tulane University Hospital & Clinic
  • Valley Regional Medical Center
  • Wesley Medical Center
  • Wesley-Galichia Heart Hospital
  • West Hills Hospital & Medical Center
  • West Houston Medical Center
  • West Valley Medical Center
  • Woman’s Hospital of Texas