# SurgVista: Long-Horizon Surgical World Modeling with Plausible Instrument-Tissue Dynamics

arXiv: https://arxiv.org/abs/2606.19889 · HTML: https://mlsanity.com/paper/2606.19889/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Medical and surgical world models, one of 11 directions in World models.
- Builds on 36 of its 40 references that are in the map.
- First posted on arXiv 18 Jun 2026.

## Placed in

- World models / [Medical and surgical world models](https://mlsanity.com/wm/medical-and-surgical-world-models/)

## Builds on (most cited first, 30 of 36)

- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [The Unreasonable Effectiveness of Deep Features as a Perceptual Metric](https://mlsanity.com/paper/1801.03924/) (2018)
- [Momentum Contrast for Unsupervised Visual Representation Learning](https://mlsanity.com/paper/1911.05722/) (2019)
- [Wan: Open and Advanced Large-Scale Video Generative Models](https://mlsanity.com/paper/2503.20314/) (2025)
- [Stable Video Diffusion: Scaling Latent Video Diffusion Models to Large Datasets](https://mlsanity.com/paper/2311.15127/) (2023)
- [CogVideoX: Text-to-Video Diffusion Models with An Expert Transformer](https://mlsanity.com/paper/2408.06072/) (2024)
- [VBench: Comprehensive Benchmark Suite for Video Generative Models](https://mlsanity.com/paper/2311.17982/) (2023)
- [Dream to Control: Learning Behaviors by Latent Imagination](https://mlsanity.com/paper/1912.01603/) (2019)
- [World Models](https://mlsanity.com/paper/1803.10122/) (2018)
- [Mastering Diverse Domains through World Models](https://mlsanity.com/paper/2301.04104/) (2023)
- [Genie: Generative Interactive Environments](https://mlsanity.com/paper/2402.15391/) (2024)
- [Diffusion Forcing: Next-token Prediction Meets Full-Sequence Diffusion](https://mlsanity.com/paper/2407.01392/) (2024)
- [Self Forcing: Bridging the Train-Test Gap in Autoregressive Video Diffusion](https://mlsanity.com/paper/2506.08009/) (2025)
- [MONAI: An open-source framework for deep learning in healthcare](https://mlsanity.com/paper/2211.02701/) (2022)
- [TAP-Vid: A Benchmark for Tracking Any Point in a Video](https://mlsanity.com/paper/2211.03726/) (2022)
- [StreamingT2V: Consistent, Dynamic, and Extendable Long Video Generation from Text](https://mlsanity.com/paper/2403.14773/) (2024)
- [Self-Forcing++: Towards Minute-Scale High-Quality Video Generation](https://mlsanity.com/paper/2510.02283/) (2025)
- [Matrix-game 2.0: An open-source real-time and streaming interactive world model](https://mlsanity.com/paper/2508.13009/) (2025)
- [History-Guided Video Diffusion](https://mlsanity.com/paper/2502.06764/) (2025)
- [WorldPlay: Towards Long-Term Geometric Consistency for Real-Time Interactive World Modeling](https://mlsanity.com/paper/2512.14614/) (2025)
- [HunyuanVideo 1.5 Technical Report](https://mlsanity.com/paper/2511.18870/) (2025)
- [Frame Context Packing and Drift Prevention in Next-Frame-Prediction Video Diffusion Models](https://mlsanity.com/paper/2504.12626/) (2025)
- [CoTracker3: Simpler and Better Point Tracking by Pseudo-Labelling Real Videos](https://mlsanity.com/paper/2410.11831/) (2024)
- [Generalization in Generation: A closer look at Exposure Bias](https://mlsanity.com/paper/1910.00292/) (2019)
- [Elucidating the Exposure Bias in Diffusion Models](https://mlsanity.com/paper/2308.15321/) (2023)
- [Matrix-Game 3.0: Real-Time and Streaming Interactive World Model with Long-Horizon Memory](https://mlsanity.com/paper/2604.08995/) (2026)
- [Stable Video Infinity: Infinite-Length Video Generation with Error Recycling](https://mlsanity.com/paper/2510.09212/) (2025)
- [Pixel-Wise Recognition for Holistic Surgical Scene Understanding](https://mlsanity.com/paper/2401.11174/) (2024)
- [Wan-Move: Motion-controllable Video Generation via Latent Trajectory Guidance](https://mlsanity.com/paper/2512.08765/) (2025)
- [Medical World Model: Generative Simulation of Tumor Evolution for Treatment Planning](https://mlsanity.com/paper/2506.02327/) (2025)

## Built on by (most cited first, 1 of 1)

- [CrossScope: A Role-Asymmetric World Model for Joint Dual-Scope Surgical Video Prediction](https://mlsanity.com/paper/2608.03211/) (2026)

## Abstract (arXiv)

Scaling robot policy learning for autonomous surgery is challenging, as expert demonstrations are expensive and in vivo exploration poses substantial safety risks. Surgical world models address this by generating realistic, action-conditioned future frames from an initial observation, but existing methods exhibit two persistent failure modes: spatial interaction incoherence, where visible instrument contact fails to induce spatially consistent tissue deformation, and temporal fidelity collapse, where prediction errors compound across autoregressive rollouts and progressively corrupt visual quality. We present SurgVista, a surgical world model that mitigates both failures through two training recipes. Deformation Consistency Regularization extracts scene-point trajectories from training videos and enforces cross-frame coherence through latent contrastive learning, strengthening physically consistent instrument-tissue dynamics. Drift Adaptation Training mitigates long-horizon drift by perturbing conditioning frames with online prediction residuals and photometric augmentations calibrated to long-horizon drift statistics, sustaining visual fidelity over extended rollouts. To enable rigorous evaluation, we further introduce SurgWorld-Bench, featuring diverse procedure types, long-range rollouts, and decoupled metrics for instrument-motion accuracy and tissue-response fidelity. Extensive experiments show that SurgVista consistently outperforms state-of-the-art methods across visual quality, temporal consistency, and interaction fidelity, with gains widening as the prediction horizon grows.