This paper tackles the challenge of automatically performing realistic surgical simulations from readily available surgical videos. Recent efforts have successfully integrated physically grounded dynamics within 3D Gaussians to perform high-fidelity simulations in well-reconstructed simulation environments from static scenes. However, they struggle with the geometric inconsistency in reconstructing simulation environments and unrealistic physical deformations in simulations of soft tissues when it comes to dynamic and complex surgical processes. In this paper, we propose SurgiSim, a novel automatic simulation system to overcome these limitations. To build a surgical simulation environment, we maintain a canonical 3D scene composed of 3D Gaussians coupled with a deformation field to represent a dynamic surgical scene. This process involves a multi-stage optimization with trajectory and anisotropic regularization, enhancing the geometry consistency of the canonical scene, which serves as the simulation environment. To achieve realistic physical simulations in this environment, we implement a Visco-Elastic deformation model based on the Maxwell model, effectively restoring the complex deformations of tissues. Additionally, we infer the physical parameters of tissues by minimizing the discrepancies between the input video and simulation results guided by estimated tissue motion, ensuring realistic simulation outcomes. Experiments on various surgical scenarios and interactions demonstrate SurgiSim's ability to perform realistic simulation of soft tissues among surgical procedures, showing its enormous potential for enhancing surgical training, planning, and robotic surgery systems. The project page is at https://namaenashibot.github.io/SurgiSim/.
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