Stryker (Mako) alternatives

Stryker's Mako SmartRobotics is the reference point in orthopaedic robotic-arm assisted surgery: the first Mako procedure took place in 2006, Stryker acquired MAKO Surgical in 2013, and the platform is now installed in 47 countries, including every US state, from the group's Kalamazoo, Michigan base. The alternatives below differ mainly in specialty and scope. Zimmer Biomet's ROSA family is the nearest orthopaedic counterpart, and it adds neurosurgery; ROSA began life at Medtech SA in Montpellier, France, in 2002 and joined Zimmer Biomet in 2016. Distalmotion, founded in Epalinges, Switzerland in 2012, works outside orthopaedics entirely: its DEXTER system targets soft-tissue procedures, with US clearances covering gallbladder removal, inguinal hernia repair and colorectal surgery. PROCEPT BioRobotics, from San Jose, California, is a single-specialty company — its Aquablation waterjet therapy treats enlarged prostate without heat, and it reported 888 employees for fiscal 2025. SS Innovations designs and builds its SSi Mantra system in Gurugram, India, explicitly to lower the cost of robotic surgery, selling across Asia, Latin America, the Middle East and Eastern Europe while US and EU approvals remain in progress. Stay with Mako for orthopaedic volume inside a global installed base; consider ROSA for a knee-to-cranial range, Distalmotion for soft tissue, PROCEPT for urology depth, and SSi Mantra where purchase cost is the binding constraint.

Alternatives to Stryker (Mako)

Zimmer Biomet (ROSA)

Zimmer Biomet is a US orthopaedics group whose ROSA Robotics platform is its multi-application surgical robot family.

Distalmotion

Distalmotion is a Swiss surgical robotics company founded in 2012 and based in Epalinges, in the Lausanne area, with a US office in Cleveland, Ohio.

PROCEPT BioRobotics

PROCEPT BioRobotics is a San Jose, California surgical robotics company focused on urology, and specifically on treating benign prostatic hyperplasia (BPH) — enlarged prostate — with a heat-free waterjet technique called Aquablation therapy.

SS Innovations

SS Innovations is an Indian surgical-robotics company whose SSi Mantra system is designed and manufactured in India with the stated aim of making robotic surgery affordable and accessible to hospitals that cannot support the cost of incumbent platforms.

Full profile, with every fact and its source: Stryker (Mako). Profile facts last verified 6 November 2026.