Abstract: An operating room control and communication system is provided. An operating room control system for a medical facility is provided. The system comprises a signal routing unit configured to route signals for devices of the operating room, the signals comprising image data. The signal routing unit comprises a first input configured to receive, from a medical facility source device, input signals comprising image data of a first image resolution. The signal routing unit further comprises a first output configured to send, to a destination device, output signals comprising image data of the first image resolution; and a second output configured to send, to a destination device, output signals comprising image data of a second image resolution lower than the first image resolution.