SIM*VIVO was established in 2008 to specifically develop practical simulation modules that will provide each medical learner with all materials necessary to learn a specific task. These Surgical Learning System modules were developed to provide a realistic lifelike platform for practice in and out of the simulation lab and to avoid the need for scrounging the hospital for second-rate and outdated training supplies. Additionally, our philosophy is to keep the cost of each unit reasonable so that each learner could own his or her personal task trainer which would facilitate further practice. Using the APDS/ACS surgery resident curriculum as a model, SIM*VIVO has developed a knot tying module and simple suturing module that contain all of the training materials and a guide book that allows the learner to practice in or out of the laboratory at his or her own pace. To complete the module, instructions are given for testing for competence. More recently, we have opened Sim*Supply which can provide you and your simulation laboratory with a wide array of high quality, low cost surgical simulation supplies Complimentary instructional learning tutorial videos are also available on this web site to facilitate the initial learning steps for each skill. Together, our hands-on Learning Systems provide the integrated task training experience that will appeal to medical students, residents, nurses and nursing students, and mid-level providers.