The present disclosure is directed to an augmented surgical reality environment system and methods. The system includes an image capture device to capture an image of a surgical environment. At least one biometric sensor obtains biometric data from a patient. A controller includes a memory configured to store a plurality of anatomical images and a processor. The processor receives at least one of the captured image, the biometric data, or one or more anatomical images from the plurality of anatomical images and generates an augmented image from at least one of the captured image, the biometric data, or the one or more anatomical images. A display device displays the augmented image.