Mediclinic City Hospital in Dubai recently undertook two intricate and challenging cases utilising the Da Vinci robot for the removal of kidney cancer from two patients with a solitary kidney. Successfully performing such demanding robotic surgical procedures is a rarity, with only a few centres equipped for such complexities. Robotic surgical excision stands out as the optimal approach for achieving effective cancer control in cases of kidney cancers. This involves either total removal, known as radical nephrectomy, or selectively removing the renal tumour while preserving the normally functioning kidney tissue, referred to as nephron-sparing surgery or partial nephrectomy. When managing renal cancer in individuals with a single kidney, the task becomes uniquely challenging, as the preservation of the normally functioning kidney is equally crucial alongside achieving complete cancer cure. In such cases, nephron-sparing surgery becomes the sole modality.