The current landscape of obstetrics and gynaecology surgical training in the UK

The surgical landscape of obstetrics and gynaecology (O&G) in the UK has shifted dramatically over the past decade, influenced by advances in minimally invasive techniques, outpatient procedures, and non-surgical options. While these innovations improve outcomes and patient satisfaction, they have also reduced training opportunities for essential open and vaginal procedures, creating challenges for skill development in the next generation of surgeons. The rise in complex obstetric procedures, such as Caesarean births and morbidly adherent placenta cases, further widens the gap between surgical demands and resident preparedness. Simulation training and regional collaboration offer potential solutions, yet resource constraints and disparities in access hinder their widespread adoption. Additionally, O&G educators face increasing pressures due to lack of time and funding for training. Addressing these challenges through systemic reforms and investment in simulation technology and educator support is essential to prepare O&G surgeons for the evolving complexities of modern surgical practice.