Surgeons say AI tools are entering operating rooms faster than the evidence base for safe, effective use. In a report summarized as AI in the Operating Room coverage, clinicians argue that clinical validation, workflow integration, and transparency around performance are not yet mature enough for routine reliance. The concerns center on algorithm reliability in varied patient contexts and the difficulty of translating study environments into daily surgical decision-making. The piece frames the current moment as a gap between availability and readiness for broad adoption. For biotech and medtech developers, the message reinforces that regulatory clearance alone may not be sufficient to justify clinical deployment without robust evidence on generalizability and real-world performance.