This is a super speciality degree awarded by National Board of Examinations, New Delhi to the surgeons after a two year structured course in the field of advanced laparoscopic surgery, metabolic & bariatric surgery. Surgeons are selected to this course based on a national level entrance exam. Surgeons need to clear an exit exam to complete the course. During this course I was trained in GEM Hospital & Research Institute, Coimbatore, one of the world’s best advanced laparoscopic surgery institute, between Feb 2007 to Feb 2009. It is one of the very few institutes in India selected by National Board of Examinations for the purpose of super speciality training in minimal access surgery. I was awarded this degree in Apr 2009. Very few surgeons have this degree in India.