Abstract:Magnetism possesses both "force" and "field" properties, enabling non-contact interactions. Hepatopancreatobiliary (HPB) surgery is a field characterized by continuous innovation. In 2015, our team first proposed the concept of "magnetic surgery," and subsequently advanced it from technical exploration to a disciplinary framework through organizing international conferences, founding a dedicated journal, and compiling textbooks. Many innovations originated in HPB practice: magnetic biliary and pancreatic anastomosis and magnetic recanalization for biliary strictures have significantly improved traditional approaches; magnetic vascular anastomosis has enabled rapid implantation of donor livers, supporting laparoscopic liver transplantation; and magnetic anchoring has provided multidimensional traction and exposure while reducing Trocar use and associated damage, thereby optimizing laparoscopic procedures. Looking ahead, multidisciplinary integration will drive the continued evolution of magnetic surgery, such as combining magnetic navigation with micro-nano surgical robots to achieve real-time tracking and guidance inside the body. These advances may overcome the limitations of conventional image guidance in applications like tumor ablation and catheter puncture. Ultimately, magnetic surgery is expected to evolve toward greater precision, minimal invasiveness, and intelligence, offering transformative solutions for HPB surgery and beyond.