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The participant selected a side of the trainer box and was provided 5-mm outside diameter (OD) laparoscopic scissors and a 5-mm OD Maryland grasper. The exercise goal was to cut out the central circle, incising only the top layer of the gauze, and without the cut transecting the inner or outer boundaries. Published article available at http://dx.doi.org/10.1097/AOG.0000000000003936. Video created by AAGL. Used with permission.