The popularity of laparoscopic techniques has led to a new domain in surgical training, with a move away from the apprenticeship model, toward structured programs of teaching new skills outside the operating room. Hands-on courses enable young surgeons to practice techniques on synthetic, porcine, or more recently, virtual-reality (VR) models are now common place. The aim has been to ensure trainees are armed with basic laparoscopic skills such as hand-eye coordination and depth perception prior to entering the operating room (Fig. 1). The success of these initial courses led to the development of similar courses for the advanced laparoscopic skills required for gastric and colonic surgery.