Gamification, the integration of game design principles into non-game contexts, has emerged as a transformative tool in surgical education and training. By combining interactive, engaging, and competitive elements with traditional teaching methodologies, gamification has the potential to enhance learning outcomes, skill acquisition, and retention among surgical trainees. This approach addresses critical challenges in surgical education, including the need for safe environments to practice complex procedures, the demands of competency-based training, and the limitations of traditional didactic learning. Gamified platforms simulate real-world surgical scenarios, allowing trainees to practice decision-making, refine motor skills, and receive immediate feedback in a risk-free setting. Features such as leaderboards, achievement badges, and progress tracking motivate learners, fostering a sense of achievement and encouraging continuous improvement. Gamification also promotes collaborative learning through team-based challenges, which mirror the dynamics of operating room teams.(1) Despite its advantages, challenges such as cost, technological accessibility, and ensuring the alignment of gamified content with educational goals remain. However, with ongoing advancements in technology and pedagogy, gamification is poised to play an increasingly vital role in equipping the next generation of surgeons with the skills and confidence required for clinical excellence. (1) 1.Balch JA, Efron PA, Bihorac A, Loftus TJ. Gamification for machine learning in surgical patient engagement. Frontiers in Surgery. 2022 Apr 22;9:896351.