# Surgical-LLaVA: Toward Surgical Scenario Understanding via Large Language and Vision Models

arXiv: https://arxiv.org/abs/2410.09750 · HTML: https://mlsanity.com/paper/2410.09750/

## Key facts

- Cited by 13 papers in the map (data through 14 Oct 2026).
- Builds on 31 of its 37 references that are in the map.
- First posted on arXiv 13 Oct 2024.

## Builds on (most cited first, 30 of 31)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Models](https://mlsanity.com/paper/2301.12597/) (2023)
- [Flamingo: a Visual Language Model for Few-Shot Learning](https://mlsanity.com/paper/2204.14198/) (2022)
- [OPT: Open Pre-trained Transformer Language Models](https://mlsanity.com/paper/2205.01068/) (2022)
- [InstructBLIP: Towards General-purpose Vision-Language Models with Instruction Tuning](https://mlsanity.com/paper/2305.06500/) (2023)
- [Video-LLaMA: An Instruction-tuned Audio-Visual Language Model for Video Understanding](https://mlsanity.com/paper/2306.02858/) (2023)
- [Video-LLaVA: Learning United Visual Representation by Alignment Before Projection](https://mlsanity.com/paper/2311.10122/) (2023)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [VisualBERT: A Simple and Performant Baseline for Vision and Language](https://mlsanity.com/paper/1908.03557/) (2019)
- [What Makes Good In-Context Examples for GPT-3?](https://mlsanity.com/paper/2101.06804/) (2021)
- [Video-ChatGPT: Towards Detailed Video Understanding via Large Vision and Language Models](https://mlsanity.com/paper/2306.05424/) (2023)
- [A General Language Assistant as a Laboratory for Alignment](https://mlsanity.com/paper/2112.00861/) (2021)
- [Instruction Tuning with GPT-4](https://mlsanity.com/paper/2304.03277/) (2023)
- [EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos](https://mlsanity.com/paper/1602.03012/) (2016)
- [Expanding Language-Image Pretrained Models for General Video Recognition](https://mlsanity.com/paper/2208.02816/) (2022)
- [Multimodal Foundation Models: From Specialists to General-Purpose Assistants](https://mlsanity.com/paper/2309.10020/) (2023)
- [Capabilities of Gemini Models in Medicine](https://mlsanity.com/paper/2404.18416/) (2024)
- [Fine-tuned CLIP Models are Efficient Video Learners](https://mlsanity.com/paper/2212.03640/) (2022)
- [ELEVATER: A Benchmark and Toolkit for Evaluating Language-Augmented Visual Models](https://mlsanity.com/paper/2204.08790/) (2022)
- [CholecSeg8k: A Semantic Segmentation Dataset for Laparoscopic Cholecystectomy Based on Cholec80](https://mlsanity.com/paper/2012.12453/) (2020)
- [Beyond Bilinear: Generalized Multimodal Factorized High-order Pooling for Visual Question Answering](https://mlsanity.com/paper/1708.03619/) (2017)
- [SOLOIST: Building Task Bots at Scale with Transfer Learning and Machine Teaching](https://mlsanity.com/paper/2005.05298/) (2020)
- [Surgical-VQA: Visual Question Answering in Surgical Scenes using Transformer](https://mlsanity.com/paper/2206.11053/) (2022)
- [SurgicalGPT: End-to-End Language-Vision GPT for Visual Question Answering in Surgery](https://mlsanity.com/paper/2304.09974/) (2023)

## Built on by (most cited first, 13 of 13)

- [ICT: Image-Object Cross-Level Trusted Intervention for Mitigating Object Hallucination in Large Vision-Language Models](https://mlsanity.com/paper/2411.15268/) (2024)
- [OmniV-Med: Scaling Medical Vision-Language Model for Universal Visual Understanding](https://mlsanity.com/paper/2504.14692/) (2025)
- [SurgVidLM: Towards Multi-grained Surgical Video Understanding with Large Language Model](https://mlsanity.com/paper/2506.17873/) (2025)
- [Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Review](https://mlsanity.com/paper/2502.14886/) (2025)
- [SurgXBench: Explainable Vision-Language Model Benchmark for Surgery](https://mlsanity.com/paper/2505.10764/) (2025)
- [From Articulated Kinematics to Routed Visual Control for Action-Conditioned Surgical Video Generation](https://mlsanity.com/paper/2605.08712/) (2026)
- [Watch, Remember, Reason: Human-View Video Understanding with MLLMs](https://mlsanity.com/paper/2606.07433/) (2026)
- [SurgMLLMBench: A Multimodal Large Language Model Benchmark Dataset for Surgical Scene Understanding](https://mlsanity.com/paper/2511.21339/) (2025)
- [Surg-R1: A Hierarchical Reasoning Foundation Model for Scalable and Interpretable Surgical Decision Support with Multi-Center Clinical Validation](https://mlsanity.com/paper/2603.12430/) (2026)
- [SurgSigma: A Spectrum of Large-Scale Multimodal Data and Foundation Models for Surgical Intelligence](https://mlsanity.com/paper/2603.16822/) (2026)
- [SurGo-R1: Benchmarking and Modeling Contextual Reasoning for Operative Zone in Surgical Video](https://mlsanity.com/paper/2602.21706/) (2026)
- [An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Models](https://mlsanity.com/paper/2604.00784/) (2026)
- [Fine-tuning a multimodal large language model for clinician-grade autism behavioral scoring from short home videos](https://mlsanity.com/paper/2606.27484/) (2026)

## Abstract (arXiv)

Conversation agents powered by large language models are revolutionizing the way we interact with visual data. Recently, large vision-language models (LVLMs) have been extensively studied for both images and videos. However, these studies typically focus on common scenarios. In this work, we introduce an LVLM specifically designed for surgical scenarios. We integrate visual representations of surgical images and videos into the language feature space. Consequently, we establish a LVLM model, Surgical-LLaVA, fine-tuned on instruction following data of surgical scenarios. Our experiments demonstrate that Surgical-LLaVA exhibits impressive multi-modal chat abilities in surgical contexts, occasionally displaying multi-modal behaviors on unseen instructions. We conduct a quantitative evaluation of visual question-answering datasets for surgical scenarios. The results show superior performance compared to previous works, indicating the potential of our model to tackle more complex surgery scenarios.