|During the last quarter of the 20th century, and especially during the last decade, there has been a paradigm shift in the methods for performance surgery. For many procedures, the âinvasivenessâ involved has been dramatically reduced resulting in superior outcomes manifested as improved survival, fewer complications, and quicker return to functional health and productive life. However, the highly technical nature of gynecologic endosurgery and the rapid rate with which new instruments are introduced, require a high intensity of surgical training. One way to accomplish this issue is the implementation of âlive operative workshopsâ. We do believe that the degree of training and experience strongly correlate with complication rates and the success of gynoendosurgery is very much dependent on the surgeonâs skills. However, future training programs must find a way to include participation in a substantial number of surgical procedures which is essential for acquiring proper technical skills and for gaining adequate knowledge of patient selection, preparation for surgery, and postoperative care. Perhaps the use of recent computer programs, graphics, animations, and recent multimedia virtual systems will facilitate the development of virtual simulator trainers to enhance the ability to learn and master new complex endoscopic operations. Live Operative Workshops in Gynecologic Endoscopy: Issues and Problems, Tarek Shokeir M.D.