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Laparoscopic Skills Certification

LapPass®

A nationally recognised badge of laparoscopic proficiency. Five technical tasks, validated assessors, accelerated operative training.

About LapPass

Launched at the 2015 ALRSGBI ASM in Southport in the Arthrex Mobile Training Lab

Laparoscopic surgery is technically demanding and the skills required for proficiency are difficult to acquire. It is not for everyone. However, perhaps more than for any other branch of surgery, simulator training lends itself for practising and perfecting laparoscopic technical skills.

From Autumn 2015 the ALRSGBI has formally recognised those trainees who can demonstrate proficiency in a defined set of 5 laparoscopic tasks. The skills are not easy to perfect; possession of LapPass® is a badge of proficiency recognised nationwide and marks out those who are serious laparoscopic surgeons.

In turn, trainers will recognise that those in possession of the LapPass® will be suitable for accelerated operative training. The 5 skills include camera holding (assessed intra-operatively) and 4 technical skill tasks demonstrated and assessed in training jigs.

The LapPass® group are working to roll the programme out internationally – setting up courses across the country and worldwide, ensuring it remains accessible, standardised, affordable and consistent.

Leadership

GB
Group LeadGrace Bennett leads the Academy LapPass® group.

LapPass continues under the leadership of Grace Bennett (Lead), and Eloise Dexter (Deputy Lead). Together, the team is working to expand opportunities for trainees to engage with structured laparoscopic skills training across the UK and internationally.

Recent Achievements

ALRSGBI Conference

Successful delivery of LapPass at this year’s national meeting, with high trainee engagement and excellent feedback.

International Delivery in Malta

Expansion of the programme to Malta, supporting trainees overseas and strengthening ALRSGBI’s international educational footprint.

Medical School Conference in Manchester

Showcasing LapPass to medical students to encourage early skills development and inspire future surgical careers.

Current Objectives

Improving National Access

Increasing the number of LapPass delivery points across UK training regions to make assessment and practice more accessible. Regional representatives will all be running LapPass in their deaneries.

Standardising Assessment

Continuing to refine and strengthen assessment consistency to ensure fairness and reliability across all LapPass events. A clear objective assessment tool has been produced and signed off by Council.

Resource Development

Expanding online guidance, video demonstrations, and preparation materials to support trainees at all stages.

Faculty Expansion

Growing the pool of trained LapPass assessors to support rising demand at conferences, teaching days, and regional events. The team will be focusing on Academy members becoming LapPass accredited and becoming assessors.

Early Engagement

Increasing outreach to medical students and foundation doctors to encourage early interest in laparoscopic skills.

Featured

Hear from the trainees who passed.

Featuring
Satish Kolli
Featuring
Charutha Senaratne, Nicholas Ting & India Jacklin-Chatha

Regional Training

Training courses across 12 regions.

Courses are run regionally throughout the year, find your nearest centre below. Fees and dates are set by the regional organiser.

Midlands

Past

Mr Jawad Ahmad · Organiser

Wed 18 February 2026 Prince William Education Centre, Kettering General Hospital

£100 members · £150 non-members

Flyer & registration →

Northern & Yorkshire

Past

Mr Ahmed Elshaer · Organiser

25 February 2026 Castle Hill Hospital, Cottingham, East Yorkshire

£70 members · £120 non-members

Details & booking →

South and West

● Upcoming

Mr Vimaladhithan Mahendran · Organiser

27 & 28 August 2026
Redwood Education Centre, Gloucestershire Royal Hospital

£150 members · £200 non-members

Flyer & registration →

North West & Mersey

Past

Mr Rikesh Patel · Organiser

Last held 21 November 2025
Royal Liverpool University Hospital Education Centre

View previous course →

Scotland

Past

Ms Shafaque Shaikh · Organiser

Last held 26 June 2025
Suttie Centre, University of Aberdeen Medical School

View previous course →

Wales

Past

Mr Graham Whiteley · Organiser

Last held 20 December 2023
Wrexham Maelor Hospital

View previous course →

Anglian

Past

Mr Subash Vasudevan · Organiser

Last held 17 May 2023
West Suffolk Hospital · FREE for ALSGBI members

View previous course →

Ireland

Past

Mr Andrew McCanny · Organiser

Last held 3 June 2022
RCSI, 26 York Street, Dublin

Previous flyer →

Oxford & Wessex

Past

Mr Stuart Mercer · Organiser

Last held 9 March 2022
Karl Storz Endoscopy (UK), Slough

View previous course →

North Thames

Contact organiser

Professor Bijen Patel · Organiser

Next course to be announced.

South Thames

Contact organiser

Mr Krishna Singh · Organiser

Next course to be announced.

Trent

Contact organiser

Mr Imran Bhatti · Organiser

Next course to be announced.

Assessors & Assessment

Official panel of validated assessors.

We hope you will enjoy acquiring the LapPass®. The tasks set are challenging but the skills required are very much clinically relevant and for most people not intuitive. They will require practice, probably over many hours at home or in the lab. They do not intend in any way to avoid the need for courses but much like the Driving Test: lessons will help speedy acquisition of the required proficiency and promote good habits but on the day you still have to pass the Test itself with or without formal lessons.

We expect to run assessments at the Annual Scientific Meeting each year and in addition there are the regional training days as above. Please watch the website and newsletter for further information. The tasks are designed to be able to be conducted on low fidelity jigs and we would encourage practice in this way.

UK Assessors · 47

  • Mr Ahmed Abdulmanan
  • Mr Marco Adamo
  • Mr Jawad Ahmad
  • Professor Tan Arulampalam
  • Mr Altaf Awan
  • Mrs Grace Bennett
  • Mr Imran Bhatti
  • Mr Hamzah Choudhry
  • Mr Nick Davies
  • Mr Andrew Day
  • Mr Simon Dexter
  • Mr Steven Dixon
  • Professor Nader Francis
  • Mr Aniq Gajdhar
  • Mr Ewen Griffiths
  • Mr Simon Higgs
  • Mr Petre Ichim
  • Mr Neil Keeling
  • Mr Jim Khan
  • Mr Satish Kolli
  • Mr Javed Latif
  • Mr Paul Leeder
  • Mr Juin Low
  • Mr Graham Macaulay
  • Mr David Mahon
  • Mr Mayank Mathur
  • Mr Stuart Mercer
  • Miss Tamsin Morrison
  • Mr Sreedutt Murali
  • Mr Ahmad Nassar
  • Mr Colm O’Boyle
  • Mr James Olivier
  • Miss Anna Palepa
  • Professor Bijen Patel
  • Mr Rikesh Patel
  • Mr Mark Portelli
  • Miss Jo Reed
  • Mr Manel Riera-Portell
  • Professor Tim Rockall
  • Mr Peter Sedman
  • Professor Chelliah Selvasekar
  • Ms Shafaque Shaikh
  • Mr Mark Vipond
  • Professor YKS Viswanath
  • Mr Martin Wadley
  • Mr Graham Whiteley
  • Mr Alex Wilkins

Malta Assessors · 5

  • Ms Rachel Abela
  • Mr Predrag Andrejevic
  • Mr Luke Borg
  • Ms Kim Pace
  • Mr Mark Portelli
  • Ms Josephine Psila
  • Ms Jessica Schembri Higgans
Inviting an assessor to your course?Contact Jenny Treglohan at jtreglohan@alrsgbi.org

Forms & Documents

Assessment forms.

Completed forms should be emailed to Jenny Treglohan at jtreglohan@alrsgbi.org. Any scope may be used.

Archive · 2019 Surveys

Trainee & trainer surveys.

Official Training Kits

Inovus Medical - official LapPass® kit supplier.

Partnership

Designed for the LapPass® curriculum.

The newly designed kits from Inovus have been developed to meet the key requirements of the LapPass® curriculum, adding improved realism and standardisation to the fully validated laparoscopic skills curriculum.

Includes: hoops, pegs, 20 cm of blue thread, foam block, Penrose drains, suturing skins and cutting skins — all the kit you need to practise the 5 key tasks.

10% discount for ALSGBI Trainee Surgeon Members.
Inovus
Medical
Official LapPass® Manufacturer
Pyxus HD and LapPass®
LapPass® Kits

The Tasks

Five validated laparoscopic skills.

Four technical tasks demonstrated and assessed in training jigs, plus camera holding skills assessed intra-operatively.

01

Task 01
Basic grasping & manipulation of polo mints

Target4 min

Equipment

  • 3 posts
  • 3 polo mints
  • 1 piece of string/cord, 15 cm
  • 2 Johannes forceps

Task

Transfer 3 polo mints from post to post – base to post 1 (left hand only); post 1 to 2 (right hand, upside-down); post 2 to 3 (mid-air hand-to-hand transfer); post 3 to finish (mid-air over the cord without touching the floor).

StartsFirst polo mint touched
StopsThird polo mint placed at start position

Essential Elements

  • Grasping & manipulation
  • Spatial awareness
  • Pronation and supination
  • Tactile feedback from graspers
  • Smooth performance
Comments — If a polo mint is dropped it is placed back at the starting position and the cycle is repeated for that individual polo mint.

02

Task 02
Tying extracorporeal Roeder knots - appendicectomy simulation

Target8 min

Equipment

  • Partially inflated glove with 4 lines at 1 cm intervals along one digit
  • Long length of braided suture material
  • Johannes or knot pusher
  • Laparoscopic scissors

Task

Create and place three Roeder knots – 2 proximally in zone 1, one distally in zone 3, then divide in zone 2. The glove must not deflate.

StartsFirst endoloop passed into simulator
StopsTip of glove separated, last endoloop cut

Essential Elements

  • Demonstration of accurate & effective Roeder knot
  • Precision placement of endoloop
  • Precision cutting
Comments – The first endoloop may be constructed outside the simulator before the exercise begins. Inaccurate loops must be repeated. Inaccurate division of the tip or immediate (< 1 minute) deflation disqualifies the exercise, it must then be repeated in its entirety.

03

Task 03
Cutting a shape

Target3 min

Equipment

  • Solid circular line on glove or chamois leather
  • Inner & outer parallel dotted lines, 0.5 cm apart
  • Circle diameter at least 5 cm
  • Laparoscopic scissors and graspers

Task

Precisely cut a circular shape without deviation from the line on excision and without damaging the underlying tissue.

StartsFirst instrument enters simulator
StopsShape confirmed fully excised

Essential Elements

  • Precision cutting
  • Grasping & manipulation
  • Placing tissue under tension
Comments – Touching or breaching either dotted line disqualifies the exercise. Scissors may be used in either hand and may be used interchangeably.

04

Task 04
Suturing

Target6 min

Equipment

  • Flexible pad with two pairs of dots
  • Braided suture
  • Needle driver
  • Johannes / second needle holder
  • Laparoscopic scissors

Task

Place two accurate sutures and tie them securely to draw tissue under tension. The two target spots must be touching (outer dotted lines) on completion.

StartsSuture material inserted into simulator
StopsSuture material divided after second suture

Essential Elements

  • Loading of needle drivers
  • Accurate suturing
  • Precise & secure knot tying with appropriate tension
Acceptable knots – Szabo knot (secure reef knot with additional throw), tied with two-hand technique (“C” and “D” loops) or, for advanced practitioners, single-handed; Surgeon’s knot. Precision & tension mandatory.

Skill 5

Camera holding skills

Minimum 6 cases, each at least 30 minutes long.

Sole camera holder. Forewarn the operator that this is an assessable task.

At least 3 cases using a 30° laparoscope.

Camera precisionTarget maintained within the centre of the image for the majority of the time, to the satisfaction of the operator.
Distance & dynamismAppropriate distance from target tissue. Proactive zoom-in for precision, zoom-out for general views and instrument exchanges.
30° laparoscope orientationDemonstrates orientation while maintaining the horizon.
TeamworkAppropriate teamworking skills throughout.

DIY Resources

How to make your own laparoscopic box trainer.

Tutorial

Build a box trainer at home

Step-by-step video showing how to construct a laparoscopic box trainer from accessible materials – perfect for practising LapPass® tasks at home.