Abstract: New and innovative systems and methods for an integrated surgical navigation and visualization are disclosed. An example system comprises: a single cart providing mobility; a stereoscopic digital surgical microscope; one or more computing devices (e.g., including a single computing device) housing and jointly executing a surgical navigation module and a surgical visualization module, and powered by a single power connection, thus reducing operating room footprint; a single unified display; a processor; and memory. In one embodiment, the system may control a position of a stereoscopic digital surgical microscope with a given reference; provide navigation of a surgical site responsive to user input; provide visualization of the surgical site via a single unified display; and synchronize, in real time, the visualization by integrating navigation information and the visualization of the surgical via the single unified display.