 Traditionally little attention has been paid to colonoscopy training in our country as opposed to teach-ing other types of surgical skills. Colonoscopy is a potentially unpleasant procedure usually carried out under minimal sedation, and it carries the risk of rare but serious complications and even death. There is ample evidence that part of the learning curve can be moved away from the patient by training on virtual reality simulators, but this is not mandatory in surgical education in Denmark. In this region there are two endoscopy simulators and courses are provided free of charge. Some of the training, how-ever, must necessarily be undertaken in the clinical setting. The literature suggests that competency is not achieved until the trainee has performed more than 200 procedures. In the Danish surgical curriculum, there is no demand for a specified number of procedures with or without supervision, but the colonoscopy competency must be vouched for by the supervisor or programme director at the end of specialty training. 