The growing interest in simulations for obstetrics has been prompted by contemporary changes in medical education and concerns for patient safety. Obstetrics and gynecology as a field is uniquely suited to the use of simulation training for medical students, residents, and staff physicians. Many common procedures and examinations taught to medical students, such as a spontaneous vaginal delivery or pelvic examination, can be intensely emotional and private issues for the patient. With the implementation of the 80-hour workweek restrictions, program directors and academic physicians have turned to simulation to supplement their residents' educational experience by focusing on important tasks and targeted simulation training. In contrast to medicine, other vocations that involve life-threatening emergencies on a daily basis, such as commercial and military aviators, must complete hands-on tests to maintain their certification. The ultimate goal of all medical simulation training is to improve patient safety and outcomes.