Oath Surgical announced its emergence from stealth with the launch of OathOS, an AI-powered surgical operating system.

Portland, Oregon-based Oath Surgical said OathOS marks the first end-to-end operating system for outpatient surgery. Combining proprietary AI technology with its owned-and-operated surgical centers, the company wants to make value-based care in surgery scalable.

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Oath Surgical is led by founder and CEO Dr. Oliver Keown, the former head of Intuitive Ventures.

The company says its full-stack solution could solve the underlying inefficiencies of surgical care. Its vertically integrated approach combines proprietary technology and real-world outpatient care in a single, seamless system. The system ranges from integrated proprietary AI scribe and pre-operative referrals to AI-assisted charting and automated recovery follow-up.

Oath Surgical launches with more than $10 million in funding from a number of leading technology, institutional and strategic investors. They include Oxford Science Enterprises, Black Opal Ventures, Rogue VC, Tau Ventures, First Spark Ventures and others. The company acquired two surgical centers in the last year and has a third de novo center in development.

At full capacity, the first sites — both in Portland — could enable thousands of procedures annually. The company estimates cost savings of up to 40% in comparison to hospital-based procedures. Its digital-first facilities support complex, multispecialty care, according to a news release.

“Oath isn’t just layering technology on top of a broken system—we’re rebuilding from the ground up,” said Keown. “OathOS spans digital and physical—from AI to surgical centers—and that vertical integration is what finally makes value-based surgical care real.

“Oath Surgical isn’t just a facility or a software company—it’s a new operating system for surgical care. … We’re rearchitecting the surgical care system around how it should work in 2025 and beyond: digitally integrated, AI-powered, surgeon-led, and built to scale value-based care.”