[Training program in urological laparoscopic surgery. Future perspective.]

Nowadays in urology, laparoscopic surgery is a reality that implies a very high percentage of the daily surgical activity. The interest in laparoscopy in urological pathology is undeniable, and the advantages for our patients with this approach are clear in most cases. But how do we deal with learning curve of this technique? What is the difficulty in laparoscopy training? What future perspectives might offer this approach? Difficulties in learning laparoscopy are easily identified and clear. The loss of the image in 3 dimensions, loss of touch, great dependence on surgical instruments, among others. For all these reasons, it seems common sense that the learning of laparoscopic surgery is structured and organized in a progressive increase in the difficulty of the exercises, which will seek to acquire the necessary skills before facing the patient inside the operating room.