Formal subspeciality training programs are seen to be required to be able to achieve competence in subspecialty surgery (1) including across regional and rural areas which have less exposure to subspeciality presentations, surgeries and training. Regional and rural subspecialty surgery access is lacking in comparison to metropolitan areas, with geographical and financial barriers to healthcare. Extensive research has been undertaken assessing the factors that improve regional and rural doctor retention, with many factors being able to support doctors in the rural positions (2). We reviewed post general surgery FRACS fellowship position offerings across the country via their open access websites. We reviewed the positions across the country assessing their Modified Monash Model (MMM) rurality. Fellowship training positions across general surgical specialities showed that majority of the positions are in a Modified Monash Model area 1 – metropolitan areas. While subspeciality training cannot be solely undertaken in regional and rural areas given the requirement for increased caseload, regional hubs may offer an opportunity for partial or full subspeciality training which may improve regional and rural subspeciality surgery access. 1/ Lian T, Leong DC, Vikneson K, Wong J, Sywak M, Papachristos A, Glover A. Endocrine surgery fellowship is necessary for competent endocrine surgical practice: perspectives from Australia and New Zealand. ANZ Journal of Surgery. 2024 Oct 16. 2/ Kumar S, Clancy B. Retention of physicians and surgeons in rural areas—what works?. Journal of Public Health. 2021 Dec;43(4):e689-700.