The virtual-reality surgical simulator signals the beginning of an era
of computer simulation for surgery. The surgical resident of the futu
re will learn new perspectives on surgical anatomy and repeatedly prac
tice surgical procedures until they are perfect before performing surg
ery on patients. Primitive though these initial steps are, they repres
ent the foundation for an educational base that will be as important t
o surgery as the flight simulator is to aviation. It is anticipated th
at the full development of the surgical simulator will take less than
the 40 years which was required for flight simulators to become an ind
ispensable ingredient of pilot training. As the system evolves, many n
ew and yet-to-be-imagined applications will arise, but we must have un
derstanding and patience as we wait for computer power to improve to a
point where VR surgical simulation can emerge from its PacMan era.