Ray-Ban Meta: A Ray of Hope in the Operating Room (and Beyond).

BackgroundWearable smart glasses offer new opportunities to enhance limb preservation surgery by enabling hands-free photo/video capture, real-time communication, and improved surgical education. While earlier devices such as Google Glass demonstrated feasibility, they were hindered by limited battery life and cumbersome ergonomics. The new Ray-Ban Meta smart glasses may address these limitations by providing high-definition recording in a lightweight, ergonomic frame. Recent consumer-grade smart glasses may address these limitations by providing high-definition recording in lightweight, ergonomic frames.MethodsFrom November 2023 to April 2025, 2 limb preservation surgeons used Ray-Ban Meta consumer-grade smart glasses during foot and ankle procedures. Five domains were evaluated: overall use and feasibility, image and video utility, workflow and communication impact, team and trainee feedback, and technical performance. Patients were enrolled based on procedural scheduling and availability for device setup, with written consent obtained preoperatively.ResultsThe smart glasses were easily integrated into operative workflows, enabling hands-free documentation without disrupting sterility. Trainees found first-person footage more engaging than conventional video formats. Real-time streaming supported remote consultation, and occasional live transmission facilitated tele-mentoring. Although battery capacity decreased with frequent use, no major technical failures occurred over the study period.ConclusionThis is the first comprehensive report on using Ray-Ban Meta consumer-grade smart glasses in limb preservation surgery. Early findings support their use as a low-profile, hands-free solution for intraoperative documentation, education, and communication. Further optimization-especially regarding battery endurance and data integration-will enhance the role of wearable devices in surgical care.