This chapter discusses history of robotically assisted cardiac surgery. Although the use of robotic systems in cardiac surgery has evolved only in the past few decades and is still in evolution, the story of the evolution of robots as a concept is pertinent to the development of robotic cardiac surgery. Although a technologically advanced procedure, the idea of using robots and robotic technology to assist humans has been present since ancient times. Historical aspects of the development of current robotic technology, development of robotic cardiac surgery, laparoscopic surgery are discussed. The development of telepresence surgery, milestones in the development of robotic cardiac surgery, robotic coronary artery bypass, mitral valve surgery, and atrial fibrillation surgery are highlighted. Time line of salient events in the development of robotic surgery is presented. Left ventricular lead placement and congenital heart disease are explained.