**8. Conclusion**

Laparoscopy presents the surgeon with multiple challenges, including ergonomics, tactile feedback, obtaining an adequate and stable field of vision, and efficient teamwork. There is a significant learning curve for complex laparoscopic digestive surgery. Simulation is a useful method to train surgeons in complex procedures and has been suggested to decrease the duration of the learning curve. Simulation has become an integral part of surgical education and training. Technical abilities no longer need to be primarily gained in the operating room through a conventional apprenticeship form of training. Instead, new skills can be acquired and refined, and fundamental surgical competency developed in a simulated setting. Basic surgical activities, as well as certain advanced surgical methods, may be recreated in simulation, allowing trainees, and practicing surgeons to build and maintain expertise.
