Twenty-four years ago, the surgeon Santiago Horgan performed the first robotically assisted gastric-bypass surgery in the world, a major medical breakthrough. Now Horgan is working with a new tool that he argues could be even more transformative in operating rooms: the Apple Vision Pro.

Over the last month, Horgan and other surgeons at the University of California, San Diego have performed more than 20 minimally invasive operations while wearing Apple’s mixed-reality headsets. Apple released the headsets to the public in February, and they’ve largely been a commercial flop. But practitioners in some industries, including architecture and medicine, have been testing how they might serve particular needs. 

Horgan says that wearing headsets during surgeries has improved his effectiveness while lowering his risk of injury — and could have an enormous impact on hospitals across the country, especially those without the means to afford specialty equipment. This is the same level of revolution, but will impact more lives because of the access to it,” he says, referring to his previous breakthrough in 2000.

Read the full article in TIME here.