Embodiments herein relate to distributed interactive medical visualization systems with primary/secondary interaction features and related methods. In an embodiment, a distributed interactive medical visualization system is included. The system can include a first video processing circuit and a first central processing circuit in communication with the first video processing circuit. The system can also include a first communications circuit. The system can also include a primary user interface generated by the first video processing circuit. The primary user interface can include a three-dimensional model of at least a portion of a subject's anatomy from a first perspective, the first perspective configured to be controlled by a primary user. The primary user interface can include a command interface object, wherein engagement can cause a secondary user interface to begin mirroring the perspective of the primary user on the three-dimensional model of the subject's anatomy. Other embodiments are also included herein.