FLS Training


This curriculum aims to provide the participant with simulation-based training on the tasks required by the Fundamentals of Laparoscopic Surgery Program (FLS) developed by SAGES. The simulation tasks include peg transfer, pattern cutting and placement of ligating loop, followed by suturing and knot tying training.

The course components include:

  1. Pegboard, Pattern Cut and Ligating Loop Training
  2. Suturing
  3. Knot Tying
  4. Freehand Suturing/Knot Tying Practice
  • To become accustomed to the fulcrum effect, laparoscopic depth perception and eye hand coordination.
  • To practice coordinated hand movements.
  • To accurately and efficiently grasp objects and transfer them to designated areas.
  • To train on use of laparoscopic scissors for cutting.
  • To become familiarized with the method of placing a ligating loop.
  • To learn and practice needle loading and needle insertion techniques.
  • To become familiarized with different knot tying techniques such as half knot, square knot, and ligature and surgeon’s knot.
  • To perform interrupted and continuous sutures.
  • Bariatric Surgery
  • Colon & Rectal Surgery
  • General Surgery
  • Obstetrics & Gynecology
  • Urology
Target Audience

Residents/fellows and attending physicians.

Suggested Time Length

Suitable for training in 2 day courses- 4 hour hands-on training per day.



The cases were created in collaboration with:

  • Amir Szold, MD, Medical Director, Assia Medical Group, Assuta Hospital, Tel Aviv, Israel.
  • Yaron Munz, MD, Senior Surgeon, Dept. of General Surgery, Rabin Medical Center, Golda Campus – Hasharon.