Today, I am in the last days of my medical studies and in no less than a year, I will be a doctor for my patient, but just an intern for the seniors. But it's a shame that I don't yet know how to pierce a human body with a syringe and I don't think anyone can teach me such a trivial skill. So how can I pursue the medical ethics of “Primum non nocere”. Are the theories we read in our books enough to slice a human with a razor-sharp scalpel? "No!" the obvious answer. Practice will make us perfect. There is evidence that younger physicians are more prone to making errors (Tevlin, Doherty, & Traynor, 2013). Even trained people make errors and 75% of errors occurred during intraoperative care, with the most common systemic factors being lack of technical skill (41%) (Rogers et al., 2006). In the United States, between 44,000 and 98,000 patients die each year from medical errors, of which surgical errors are second only to medications (Lancet, 2011). The specially designed tools and devices that replicate the real-life scenario to train and improve the skills of the learner are simulators. . As it is inhumane to practice and experiment on a human being and we cannot afford to lose human lives for our learning, preparation and exercises under simulation could be a better option for new trainees and residents. But practice in some kind of simulator is never possible in my part of the world. The concept of a skills laboratory is not yet well established and the development of simulation devices and software in my own country is far from imaginable. Thus, the future of simulation should be oriented towards the darker side of the world from where thousands of doctors come every year to practice and assist consultants from the developed parts of the world (Goldacre, Davi...... middle of range). paper ......74), p. 1289. Okrainee, A., Smith, L., and Azzie, G. (2008). Surgical simulation in Africa: the feasibility and impact of a 3-day course on the fundamentals of laparoscopic surgery. Rajbhandari, S.M. (Ed.). (2013, fall). Advanced laparoscopic surgery course. Retrieved from http://www.ndauk.org.uk/Newsletter%20Autumn%202013.pdf.Rogers, SO, Gawande, AA, Kwaan, M., Puopolo, AL, Yoon, C., Brennan, TA et al. . (2006). Analysis of surgical errors in closed malpractice claims with 4 liability insurers. Surgery, 25-33. Schreuder, H., Oei, G., Maas, M., Borleffs, J. and Schijven, M. (2011). Implementation of simulation in surgical practice: minimally invasive surgery has taken the lead: the Dutch experience. MedTeach. Tevlin, R., Doherty, E. and Traynor, O. (2013). Improving the disclosure and management of medical errors: an opportunity to transform the surgeons of tomorrow.