A research team of scientists from the Fraunhofer IPA, the Bosch Digital Innovation Hub at Bosch Health Campus and the Institute of Image-Guided Surgery (IHU) of Strasbourg has jointly launched the DAIOR project (»Distributed Artificial Intelligence for the Operating Room«). Within the framework of the project, the project partners are working on realizing the operating room (OR) of the future with help of artificial intelligence (AI) and robot assisted telemedicine. To achieve this, the research team is pursuing two directions. The first is to develop federated learning approaches to exploit surgical data from different clinical centers and build new AI-methods to support surgeries in real time. The second is to deploy cross-site AI supported, robot assisted telesurgery, even across national borders.