The biggest technical development within the field of surgery is focused on minimal invasive procedures. With new robot assisted solutions can the surgeons work more precise with a great level of flexibility. The work is nevertheless connected to long set-up times and huge costs which excludes parts of the population to take part of the progress. This project, based on pure user studies and in-depth surgery observations, discovers a possibility to, in a cost efficient way by using off-the-shelf industrial technology, offer robot benefits to open surgery scenarios. With a minimal effort can the surgeon merge the product into their regular workflow and enhance the stability in their movements, get improved vision and an extra hand when holding tissue in static positions. Patients receive safer, more precise and quicker procedures with less complications as result.