Dear Editor, We would like to present our first experiences with the use of an innovative system to control the imaging in the operation room, the Leap Motion gesture control and OsiriX. Touch-free systems are useful where the contact between the surgeon and computer is disadvantageous; in the operating room a touch-less system is an ideal solution. These solutions reduce surgery time, minimize the risk of infections (in some hospitals, PC monitors are located on the wall and the surgeon must leave the operating table to go there). During surgery, changing gloves each time the computer system has to be operated interrupts the workflow and can result in longer surgery times with higher risk for the patient and higher costs. A Swiss group presented a good prototype: they use Orisix and Microsoft Kinect to perform the touch-free control in the operation room and during autopsy. This solution, in our opinion, can neither be placed on the market nor in operation rooms. The vocal control had several limitations, the Kinect is quite expensive, intraoperative 3-dimensional (3D) imaging was difficult to control, and the working distance of ~1.2 m required a screen of appropriate size. They concluded by suggesting that using more advanced methods, such as recognition of finger gestures, could solve these problems.