For hands-on skill development, we offer multi-day hands-on live courses. On the first day, the didactic content is presented in a discussion format, focusing particularly on questions from attendees. This is followed by hands-on training on the second day on an animal/synthetic model. An effort is made to practice and implement most of the techniques presented in the course. In our experience, this sets participants up with the ability to perform surgical techniques comfortably in their own office.