An articulated surgical tool and method of use are provided. The articulated surgical tool may hold an instrument and a surgical tool and may provide both macro and micro motions in the instrument and/or surgical tool, including by hydraulic operation. The articulated surgical tool may be coupled to a control system, such that manipulation of the control system results in movement of instrument and/or surgical tool, thereby eliminating the need to manually hold and position the instrument and/or surgical tool.
