Smart surgery is a new way to utilize smart devices to change existing surgeries. Smart glasses can enhance the surgical procedure so that the patient can understand the procedure more intuitively. Surgery is for patients, and patient acceptance of extended reality surgery is the purpose of this study. This study uses the technology behavior model, which is more in line with the user’s assessment of the acceptance behavior of the new technology. A triangulated research approach was used, which applies to this study for a specific patient population. Primary data were collected from hospitals through questionnaires and were statistically analyzed by CB&PLS-SEM multimodel using SmartPLS software. It was concluded that patients were influenced by operational emotional factors in undergoing extended reality surgery. The study provides a basis for future research related to the practical application of smart surgery from the patient’s perspective in viewing and accepting surgery.

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Extended Reality Smart Glasses is a new pattern that uses extended reality technology to present a visual environment that combines the physical and virtual worlds. However, the surgical technique using Smart Glasses implementation is still unknown, to the infancy in clinical surgery, derived to the limits of existing technology. This study researched the acceptability and possibility of XRSG for medical experts. It combines human seen behavioral control with information technology research to construct a new “Extended Reality Technology Behavior Model” using method Technology Acceptance Model and Theory of Planned Behavior. To improve the accuracy of the study, statistical analysis, exploratory analysis, and cross-sectional research triangulation were used to collect data in five hospitals in Malaysia using a convenience sampling method and a questionnaire on behavioral influences. From the collected data, PLS-SEM analysis was used to reflect the relationship between variables. The strong positive results suggest that using XRSG by medical experts helps to improve the composition, interactivity, standardization, and clarity of medical images, resulting in increased efficiency and reduced procedure time and felt the usefulness and ease of use of XRSG through their behavior, providing a basis for technology acceptance in surgery.

Wearable Smart Glasses visualises information projected onto the lens, col-lects data over a wireless network, and uses a program to convert it into text or images to be transmitted to the display. This study discovers the usage of the products that will serve the medical industry, and as a result to design differ-ent products according to different uses, so to customize different prices and willingness of the targeted industry and people to purchase while meet the needs of more consumers. Therefore, the feasibility of using smart glasses in surgery was studied in this study, a technology acceptance model was used to analyze people's acceptance of the use of smart glasses in medical system. Mix mode analysis of the data was conducted through the explanatory study and the cross-sectional study, and relevant data were collected using an online questionnaire. The study found that surgeons using smart glasses could im-prove the success rate of surgery.

With the advancement of technology, the metaverse image is used to improve the success rate of surgical. The purpose of this study was to understand the acceptance of extended reality surgery by different populations of medical experts and patients. The main reason for using a triangular mixed model for the study is because of the small amount of relevant research data for this study, quantitative research, exploratory research, and cross-sectional research can avoid some human interference and reduce error. The results of the study data showed that the image model, interaction design, surgeon, and clarity of use of the head-mounted display with metaverse technology by the expert group were conducive to improved surgical success rates. Metaverse surgery offers opportunities for modern digital surgery and can effectively improve the expert's ability to promote the smoothness of physical indicators during the procedure. This study is pioneering the role of a metaverse in facilitating surgery from the dual perspective of medical experts and patients.