90 Chapter 3 Conclusion The results of the present study showed that novice surgeons can significantly increase their dexterity skills (the ability to perform RAS) in a short time of practicing advanced robotic surgery skills on a simulator. The proctor guided group reported a higher participant’s satisfaction scores compared to the simulation trained group and this could indicate a higher motivation to continue their training. The lack of difference in simulation results between the intervention groups showed that the im-pact of proctored guidance and simulator-generated guidance during the initial phase of learning robotic assisted surgery (RAS) is limited. Since there is no difference between the intervention groups, the exposure to the robotic surgery skills simulator alone could possibly be sufficient to achieve the required dexterity skills when approaching RAS. Further research is needed to investi-gate if early skills on simulator could represent an indicator for robotic surgery aptitude and talent.