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Fundamentals of Laparoscopic Surgery - FAQs For Program Administrators

Watch this video to learn more about the FLS requirement.


The Society of American Gastrointestinal and Endoscopic Surgery (SAGES) is the non-profit organization that offers FLS. You can download the order form and purchase FLS packages for your residents there.

The FLS is a standardized curriculum and high-stakes examination that has been validated. The test questions and tasks have been field-tested for efficacy, and the FLS Test Committee continually reviews their statistical properties. The assessments are proctored by accredited FLS testing centers.

All residents who graduate in the academic year 2020 and beyond must complete the formal FLS curriculum and certification at an FLS testing center. At the time of application, ABOG must receive confirmation that they have successfully passed the examination.

Institutions wishing to become FLS Test Centers must first complete an FLS Test Center application and submit the application, along with the application fee, to the SAGES FLS Program office. The FLS Test Center application is available, along with the FLS Test Center Standards and criteria here.

A candidate must complete FLS before they apply for their Qualifying Examination (QE). They will be instructed to supply a copy of the certificate of completion at the time of their application. They can take FLS at any time during residency, but the ideal time may be during the second year as residents are gaining more exposure to laparoscopy.