Last week VISiOR® hosted a remote case collaboration for Prof. Joep Knol at Hospital Oost-Limburg (ZOL) in Genk, Belgium. Prof. Sergio Castorina from the University of Catania in Sicily, Prof. Alexander Ferko from Czech Republic and Assistant Prof. Jose Moreira de Azevedo from Champalimaud in Lisbon, Portugal, followed a complex intersphincteric APE (Abdominoperineal Excision) from the front row. The session was a great example of the open architecture our system is based on. It took us barely 2 minutes to add an extra camera to the VISiOR setup to cover the excision from below. Many thanks to Prof. Knol for this great opportunity.