HXTEND is a platform developed by MDConsgroup to extend and/or replace the use of monitors and visual resources normally used in procedure rooms (endoscopy, surgery, etc.). Our platform utilizes MIXED REALITY technology, based on HOLOGRAMS, capable of detecting hand gestures and ergonomically adapting to each user. To overcome the clinical paradigm, in Guayaquil-Ecuador, the Ecuadorian Institute of Digestive Diseases (IECED) and mdconsgroup, a software development company, joined forces to create the HXtend™ system with the goal of replacing surgical monitors within endoscopy units. The system employs mixed reality (MR) technology based on holograms and works using a dedicated processor and software, paired with HoloLens™ (Microsoft Corporation; Redmond, WA, USA) to fully digitize and integrate visual input into holographic displays. It allows for more autonomous, ergonomic, eco-friendly work without geographical limits, optimizing the workflow and helping users interact more quickly and efficiently with their environment. With HXTEND, distances are shortened, allowing you to virtually connect from anywhere in the world to the same procedure room. Borders are no longer a limit; you set the limits. With HXTEND, it will no longer be necessary to buy one or several screens/monitors/ceiling arms usually required in procedure rooms, as it allows you to see as many screens as you need for your work simultaneously, saving money, space, and resources. It is compatible with all processors. It can receive inputs from up to nine video processors (of any brand) and display a corresponding number of up to 9 Full-HD hologram screens. The HXtend™ system uses MR, an interactive technology, processed in real-time and registered in 3D, with advantageous features in endoscopy, such as gesture operation, 3D spatial guidance, and voice commands, allowing for safer, more comfortable, ergonomic interaction, adapted for GI endoscopists (translation and rotation) in endoscopic procedures. It features AI-assisted layout that automatically repositions screens and removes switches. The HXtend™ system enables real-time virtual global connectivity (local network, Wi-Fi, and satellite) and direct interaction with several endoscopists during a procedure without delays. This feature (R-Intel Board) could be used for training and assisting less experienced endoscopists during procedures, allowing voice communication between operators and featuring interactive image functions (e.g., a remote expert can draw a line on the screen showing where a puncture is needed for drainage), making it ideal for educational purposes.