This paper investigates how a teleoperated surgical robot recongures teamwork in the operating room by spatially redistributing team members. We report on ndings from two years of eldwork at two hospitals, including interviews and video data. We nd that while in non-robotic cases team members huddle together, physically touching, introduction of a surgical robot increases physical and sensory distance between team members. This spatial rearrangement has implications for both cognitive and aective dimensions of collaborative surgical work. Cognitive distance is increased, necessitating new eorts to maintain situation awareness and common ground. Moreover, aective distance is introduced, decreasing sensitivity to shared and non-shared aective states and leading to new practices aimed at restoring aective connection within the team. We describe new forms of physical, cognitive, and aective distance associated with teleoperated robotic surgery, and the eects these have on power distribution, practice, and collaborative experience within the surgical team. CCS Concepts: • Human-centered computing → Computer supported cooperative work; Empirical studies in collaborative and social computing; Collaborative and social computing theory, concepts and paradigms;