What is the difference between Mako and ROSA?

Mako and ROSA are both surgical robots on the DEPLOY registry. They differ in maker, maturity, price, verified deployments, and how much of their autonomy is independently verified. See the table above for the full head-to-head; each figure is sourced.

Which is cheaper, Mako or ROSA?

On the DEPLOY registry, Mako and ROSA have a comparable recorded price. Both figures are sourced; check each record for the price status (target, estimate, or actual sale).

Is Mako or ROSA more autonomous?

On the DEPLOY registry, neither Mako nor ROSA has capabilities independently verified as fully autonomous yet; their recorded capabilities are teleoperated-assisted, demonstrated, or vendor-claimed. See the table for each capability's verification status.

Which has more verified deployments, Mako or ROSA?

Mako and ROSA each have 2 verified deployments on the DEPLOY registry (confirmed at named sites with primary sources).

Buying guide

Mako vs ROSA in 2026

Comparing 2 humanoid robots across availability, pricing, capabilities, and verified deployments. Current as of 2026.

Attribute	Mako View full model page →	No image on file ROSA View full model page →
Manufacturer	Stryker	Zimmer Biomet
Form factor	surgical	surgical
Maturity	commercial	commercial
Autonomy	◐ not independently verified	◐ not independently verified
Availability	internal-onlyenterprise	internal-onlyenterprise
Price	$1,000,000-$1,500,000 (actual sale price)	$1,000,000-$1,500,000 (analyst estimate)
Capability claims	Assists surgery (teleoperated-assisted, verified)	Assists surgery (teleoperated-assisted, claimed)
Brain	—	—
Verified deployments	2United Kingdom, United States	2France, United States
Privacy practices	—	—
Sources on file	15	14

Editorial summaries

Mako

Stryker's Mako (Mako SmartRobotics) is a surgeon-guided robotic arm for orthopedic joint replacement and the large-footprint, CT-based, multi-procedure archetype of DEPLOY's orthopedic surgical sub-cohort. It pairs CT-based 3D pre-operative planning with intra-operative haptic boundary control (AccuStop physically constrains the saw or burr to the planned resection zone) and real-time optical bone tracking. Critically, it is AI-augmented but surgeon-controlled, not autonomous: the surgeon holds and guides the arm and makes every cut; the robot does not move or cut on its own, the same assistive class as Intuitive's da Vinci. Cleared procedures span partial and total knee (total knee August 2015), cementless total knee, total hip and a hip-revision feature, Mako Spine (510(k) K241517, May 2024, pedicle-screw placement) and Mako Shoulder 1.0 (510(k) K242373, November 2024, reverse shoulder arthroplasty). Sold in 45-plus countries by Stryker (NYSE: SYK). Cap-flag: Stryker frames itself in SEC filings as one of four leading global competitors, not a specific market-share percentage; aggregator share figures are not verified. As enterprise B2B surgical equipment, there is no consumer price.

ROSA

Zimmer Biomet's ROSA (Robotic Surgical Assistant) is a single articulated robotic arm coupled to optical navigation and 2D/3D planning software, and the mid-size, cross-domain archetype of the orthopedic sub-cohort: it spans orthopedics and neurosurgery. The arm positions and guides instruments but moves only on surgeon command; it does not cut or place autonomously (AI-augmented, surgeon-controlled). Current Zimmer Biomet variants are ROSA Knee (total knee arthroplasty, imageless X-Atlas workflow, cleared January 25, 2019; 'ROSA Knee with OptimiZe' cleared November 14, 2025), ROSA Hip (direct-anterior total hip arthroplasty specifically, cleared August 18, 2021), ROSA ONE Brain (cranial neurosurgery: biopsy, SEEG, DBS, and endoscopy, cleared February 11, 2019), and ROSA Shoulder (cleared February 2024). Made by Zimmer Biomet (NYSE: ZBH). Two cap-flags: ROSA Spine is not a current Zimmer Biomet variant (it left in the 2022 ZimVie spinoff), and Zimmer Biomet's autonomy ambitions run through its separate Monogram acquisition, not ROSA. As enterprise B2B surgical equipment, there is no consumer price.

Common questions

What is the difference between Mako and ROSA?: Mako and ROSA are both surgical robots on the DEPLOY registry. They differ in maker, maturity, price, verified deployments, and how much of their autonomy is independently verified. See the table above for the full head-to-head; each figure is sourced.
Which is cheaper, Mako or ROSA?: On the DEPLOY registry, Mako and ROSA have a comparable recorded price. Both figures are sourced; check each record for the price status (target, estimate, or actual sale).
Is Mako or ROSA more autonomous?: On the DEPLOY registry, neither Mako nor ROSA has capabilities independently verified as fully autonomous yet; their recorded capabilities are teleoperated-assisted, demonstrated, or vendor-claimed. See the table for each capability's verification status.
Which has more verified deployments, Mako or ROSA?: Mako and ROSA each have 2 verified deployments on the DEPLOY registry (confirmed at named sites with primary sources).

Recent coverage

Makor to detail Zambia copper plan at AMWMako · Canadian Mining Journal · 2026-07-09
Zimmer Biomet to Hire 500 in India as New Bengaluru Technology Centre Drives AI and MedTech InnovationROSA · MedTech Intelligence · 2026-07-08
Calian for Resilient GNSS, From Water to SpaceROSA · Inside GNSS · 2026-07-07
Army’s Newest Unit Aims To “Overwhelm” Adversary With Drones In Pacific FightMako · The War Zone · 2026-06-19

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