A surgical headlight system has a headlamp. The surgical headlight system can further include a headwear structure, configured to be worn on a surgeon's head during surgery, supporting the headlamp. The surgical headlight system can further include a video camera configured to record surgery. The headlamp, the headwear structure and the video camera all have an exterior surface. An antimicrobial coating is applied to the exterior surface of the headlamp, the exterior surface of the video camera, and/or the exterior surface of the headwear structure. The antimicrobial coating includes a silane quaternary ammonium ion or salt thereof. The antimicrobial coating imparts antimicrobial properties onto the exterior surface to which it is applied, such as the exterior surface of the headlamp. The silane quaternary ammonium ion or salt thereof can be one or more of 3-(trimethoxysilyl)propyldimethyloctadecyl ammonium ion, 3-(trimethoxysilyl)propyldimethyloctadecyl ammonium chloride, 3-(trihydroxysilyl)propyldimethyloctadecyl ammonium ion, or 3-(trihydroxysilyl)propyldimethyloctadecyl ammonium chloride.
