Remote-controlled robot-assisted gynecological surgery is an innovative medical model that combines advanced communication technologies with robotic surgical systems, and it holds significant value in promoting the distribution of high-quality medical resources and responding to public emergencies. This article was jointly organized by the Obstetrics and Gynecology Physicians Branch of the Chinese Medical Doctor Association and the Gynecological Intelligent Medicine Professional Committee of the Chinese Maternal and Child Health Association, with the aim of standardizing its clinical application and enhancing the quality and safety of surgeries. The article reviews the development history of remote surgery, introduces the construction and technical requirements of remote-controlled robot-assisted gynecological surgery systems supported by 5G and other communication technologies, emphasizes the importance of quality management, including equipment access, personnel qualifications, team collaboration, network communication and security, and health economics indicators, and proposes suggestions for remote surgery access and training assessment. At the same time, it elaborates on the operational norms of remote-controlled robot-assisted gynecological surgery, covering preoperative preparations, surgical procedures, postoperative management, and the prevention and treatment of complications and fault responses. Finally, it discusses the challenges faced by the development of this technology, such as the iterative upgrading of robotic surgical systems, network security guarantees, the realization of full-process remote medical services, and the implementation of remote surgeries in special environments, with the aim of providing references for the promotion of remote-controlled robot-assisted gynecological surgery in China.