Security threats are crucial challenges that deter Mixed reality (MR) communication in medical telepresence. This research aims to improve the security by reducing the chances of types of various attacks occurring during the real-time data transmission in surgical telepresence as well as reduce the time of the cryptographic algorithm and keep the quality of the media used. The proposed model consists of an enhanced RC6 algorithm in combination. Dynamic keys are generated from the RC6 algorithm mixed with RC4 to create dynamic S-box and permutation table, preventing various known attacks during the real-time data transmission. For every next session, a new key is created, avoiding possible reuse of the same key from the attacker. The results obtained from our proposed system are showing better performance compared to the state of art. The resistance to the tested attacks is measured throughout the entropy, Pick to Signal Noise Ratio (PSNR) is decreased for the encrypted image than the state of art, structural similarity index (SSIM) closer to zero. The execution time of the algorithm is decreased for an average of 20%. The proposed system is focusing on preventing the brute force attack occurred during the surgical telepresence data transmission. The paper proposes a framework that enhances the security related to data transmission during surgeries with acceptable performance.