This study investigated the impact of distractions on robotic surgical performance with different task difficulties. We hypothesized that distractions would negatively affect robot-assisted surgical performance in comparison to no distraction. In addition, the performance on distractions would be affected by the level of task difficulty. Sixteen subjects performed three inanimate surgical tasks: Bimanual Carrying (BC), Needle Passing (NP), and Suture Tying (ST) with three distraction groups (passive, active, combined distraction), and a control group with no distraction. Dependent variables were objective measurements (time, distance, speed, and smoothness). A two-way ANOVA was applied to examine the effect of distractions and tasks. Distractive environment significantly decreased performance (time to task completion (p ≤?0.005) and distance traveled (p ≤?0.005)), and the effect of distraction was significant on difficult tasks (NP and ST).