While robotic-assisted surgery systems show clinical promise, a knowledge gap remains regarding how organizational management decisions align with the practical, day-to-day realities of surgical staff in strictly regulated medical environments. To address this, we conducted a systematic literature review and qualitative interviews with eight expert hospital practitioners to provide a multifaceted analysis of the factors influencing technology adoption. Our research is grounded in both the theory of technology lifecycle management and the diffusion of innovations to structure our inductive study. We also identified key factors impacting technology management decisions across the entire lifecycle, including procurement, operations, and monitoring considerations. A central focus of our work is to understand how the introduction of robotic-assisted surgery systems alters the work routines and perceptions of technology among end-users. By integrating usercentric insights with a broader management perspective, we aim to offer qualitative findings that inform decision-makers on critical user characteristics and potential weaknesses to address during the medical robot adoption process.