Level 1	A structured laparoscopic training program in hernia repair improves operator proficiency in the operating room
Level 2c	Specialist centers seem to perform better than general surgical units, especially for endoscopic repairs
Level 4	There is a positive correlation between LVHR simulator training and performance in the operating room
	Operative performance can be greatly affected by surgical judgment and intraoperative decision making
	Surgeons with advanced laparoscopic skills are more likely to perform LVHR. Most with limited experience will begin after working with a preceptor
	The Global Operative Assessment of Laparoscopic Skills–Incisional Hernia (GOALS-IH) is easy to use, valid, and reliable for assessment of simulated LVHR
	A 1-day course may affect a surgeon’s practice
	It appears that the performance of 20 LVHR surgeons experienced in laparoscopic surgery leads to a plateau in recurrence rates and intraoperative complications