Training in surgery is completed at district or regional hospital departments. All surgical departments have educational accreditation for a few or more (sub)specialties. With the increasing centralization, candidates must move from one hospital to another, “shopping” for procedures, because very few hospitals/departments are able to provide the full range of procedures required (Table 1 and Table 2). As such, exposure to various types of surgery may be limited, such as a lack of “minor” surgery in hospitals taking care of larger volumes of cancer or trauma surgery and where, for example, vasectomies, hernia, cholecystectomies, and varicose surgery are referred to district hospitals. While interhospital rotation would easily solve these issues, the logistics and current management structure (requirements for efficiency, less time for education and training) have made it a potential Achilles heel of general surgical training.