Although CAOS has advantages in both the accuracy and precision of the procedure at hand, it is still not widely accepted within the orthopedic community for various reasons.

[5][3] Regardless of the navigation preference, the inclusion of computer technology results in increased hospital expenditures, which are then billed to the patient.

[3] Some studies suggest CAOS can be cost-effective for the hospital under the circumstance that a large volume of procedures are conducted on geriatric patients.

[2] There is evidence that implants and procedures undertaken with computer-assisted orthopedic surgery have significantly higher levels of accuracy and precision[6][7][8][9] However, it is not conclusive that CAOS technologies result in a significant long-term improvement in operative outcome, studies suggest that CAOS may lower revision rates.

[12][13] More developments are being made to reduce both costs, and radiation exposure while providing accurate guidance to the surgeon via ultrasound imaging.