A method of operating a surgical anchoring
system can include inserting an outer sleeve of a
surgical instrument at least partially into a first natural body lumen, the outer sleeve having a working channel. The method can include inserting a channel arm of the
surgical instrument through the working channel of the outer sleeve and into a second natural body lumen. The channel arm has at least one first anchor member coupled thereto and a control
actuator operatively coupled to the at least one first anchor member. The method can include expanding the at least one first anchor member from an unexpanded state to an expanded state to form an
anchor point at a portion of the second natural body lumen. The method can include controlling, by the control
actuator, a motion of the channel arm to selectively manipulate an organ associated with the first and second natural body lumens.