Surgeons performing laparoscopic surgery in a modern operating theatre
Real-Time Surgical AI · Pre-Seed

The AI co-pilot for laparoscopic surgery.

Surgeons make 3D decisions from a 2D image. LapSx plugs into any existing laparoscopic stack and delivers real-time AI guidance — improving efficiency, reducing complications, and capturing every frame for training.

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The Problem

4 million procedures. No AI.

Over $40 billion is spent on laparoscopic operations every year in the US alone. Surgeons navigate complex 3D anatomy through a 2D screen — with no real-time decision support, no data capture, and no scalable training feedback.

1 in 16
Complication Rate
Every 16th laparoscopic operation results in a complication — generating additional cost, liability exposure, and downstream burden for hospital systems.
30%
Theatre Overruns
Procedures routinely exceed scheduled timing, destroying OR efficiency, burning hospital margin, and limiting surgical capacity.
Years
Training Gap
Surgical training still relies on apprenticeship. There is no scalable, data-driven feedback loop — the cost of learning is borne by patients.

The Core Challenge

Every laparoscopic procedure requires a surgeon to interpret a flat, 2D video feed and mentally reconstruct the 3D anatomy beneath the surface. This cognitive leap happens thousands of times per day across operating rooms worldwide — with no technological support, no objective verification, and no record of what was seen or decided.

The Systemic Cost

Complications drive extended stays, re-operations, and litigation. Overruns cascade through OR schedules, costing hospitals hundreds of thousands in lost throughput annually. Meanwhile, the surgical workforce trains the same way it did 30 years ago — watching, assisting, hoping to learn enough before operating alone.

Two laparoscopic camera views side by side with dissection planes marked
LapSx · Lap Chole Demo Rec
Dissection Planes · Marked

From the LapSx demonstration reel — the same 2D feed a surgeon sees, with the anatomy made explicit.

The Solution

Plug in. Analyse. Guide.

LapSx is a real-time AI co-pilot that connects to any existing laparoscopic stack. No hardware purchase. No workflow change. No IT project.

Live laparoscopic feed with the right ureter highlighted by the LapSx AI overlay
LapSx · Overlay Demo Demo
Anatomy Identified · Right Ureter

From the LapSx demo — critical anatomy identified on the surgeon's existing monitor.

01 — Plug In

Zero-Friction Deployment

The LapSx device connects to any existing laparoscopic tower via standard video output — HDMI, DVI, VGA. No capital expenditure. No procurement cycle. A surgeon can start using it the same day.

02 — Analyse

Real-Time AI Processing

The AI processes the live video stream frame by frame — identifying anatomy, tracking instruments, and building a spatial understanding of the surgical field from the 2D feed.

03 — Guide

Decision Support Overlay

A real-time overlay delivers guidance directly on the surgeon's existing monitor. Every frame is stored for training, audit, and continuous algorithm improvement.

Co-Pilot Capabilities

What changes when every procedure has AI

Laparoscopic view with anatomical structures segmented in colour by the LapSx overlay
LapSx · Structure Segmentation Demo
Structures Segmented

Anatomical structures segmented frame by frame — from the LapSx demo reel.

Reduced Complications Outcomes

Real-time anatomical identification and risk-zone flagging provides an objective second opinion during the critical moments of every procedure.

OR Efficiency Gains Operations

AI-assisted procedures reduce decision latency and theatre overruns — enabling higher surgical throughput and better OR scheduling predictability.

Training at Scale Education

Every procedure becomes a training asset. Annotated surgical video provides residents and fellows with a data-driven learning environment no textbook can replicate.

Reimbursement Ready Revenue

The NTAP pathway enables hospitals to receive additional reimbursement per qualifying case — making LapSx cost-neutral or revenue-positive from day one of deployment.

Market

The largest unaddressed gap in surgical technology.

$5B+

Total Addressable Market

4 million laparoscopic operations per year in the US alone. LapSx is procedure-agnostic — starting with the highest-volume indications and expanding across the full laparoscopic, endoscopic, and robotic surgical landscape.

4M
Annual US laparoscopic procedures
510(k)
Clear regulatory pathway via established predicate
NTAP
New Technology Add-on Payment reimbursement pathway
Team

Surgeon-founded. Mission-driven.

LapSx is led by a surgeon who has lived this problem for over a decade at the operating table — with a track record of selling to hospitals at scale, navigating FDA pathways, and bringing SaMD products to market.

The founding team combines frontline clinical expertise with deep surgical AI engineering. A global advisory network spans North America, Europe, and India — providing clinical validation, regulatory access, and alpha site partnerships from day one.

Surgeon-Founded SaMD Experience FDA Track Record Hospital Sales Global Network
Dr. Sham Dholakia, founder and CEO of LapSx.ai
Dr. Sham Dholakia Founder & CEO

Strategic Advisors

Peter Friend
Peter Friend
Vice President — Royal College of Surgeons
Clinical validation and regulatory access across the UK hospital network.
Osama Gaber
Osama Gaber
Head of Surgery — Alpha Site Lead
Surgical protocol design, video annotation oversight, and clinical champion.
Investors

Let's talk.

LapSx is raising a pre-seed round. We welcome conversations with investors who believe AI will transform how surgery is performed, taught, and measured.

sham@lapsx.ai