Book excerpt: This pragmatic book is a guide for the use of simulation in surgery and surgical subspecialties, including general surgery, urology, gynecology, cardiothoracic and vascular surgery, orthopedics, ophthalmology, and otolaryngology. It offers evidence-based recommendations for the application of simulation in surgery and addresses procedural skills training, clinical decision-making and team training, and discusses the future of surgical simulation. Readers are introduced to the different simulation modalities and technologies used in surgery with a variety of learners including students, residents, practicing surgeons, and other health-related professionals.