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Postgraduate training in surgical specialties is one of the longest training programmes in the medical field. Most of the surgical training programmes require 5-6 years of postgraduate training to become qualified. This is usually followed by 1-2 years of fellowship training in a subspecialised interest. This has been the case for the last 20-30 years with no significant change. The surgical practice is transforming quickly due to the advances in medical technology. This transformation is not matched in the postgraduate training, there