Tele-transplantation in RLS currently relies overwhelmingly on tele-mentoring (remote expert guidance via video link), as pure robotic telesurgery remains technologically and financially unfeasible due to prohibitive costs, unreliable ultra-low-latency connectivity, and lack of affordable robotic systems. Successful case studies, like kidney transplant mentoring between India and the UK or foundational surgical training in Malawi, demonstrate that tele-mentoring can effectively bridge expertise gaps, build local capacity, and improve perioperative care when paired with skilled on-site teams. While innovations in simplified task-specific robotics, AI-assisted guidance (e.g., AR overlays, anatomy recognition), and optimized satellite connectivity offer future potential to augment specific critical surgical steps, the immediate path forward emphasizes strengthening local surgical foundations, deploying robust but affordable tele-mentoring using existing 4G/5G where possible, establishing clear ethical/legal frameworks, and prioritizing sustainable partnerships – aiming not to replace local teams but to empower them with remote expertise to perform more transplants safely within their own communities.