Dual operating in gynaecological endoscopy: towards a culture of shared learning and safer surgery

Dual operating is increasingly recognised as a valuable strategy in complex gynaecological surgery. Models include supervising (trainer-trainee), buddy (comparable proficiency within a specialty), and inter-specialty (collaboration across specialities). Each approach offers unique benefits for patient safety, surgical training, and surgeon wellbeing. Buddy operating in particular promotes peer-to-peer learning, shared responsibility, and enhances decision-making. As minimally invasive gynaecology evolves, embedding these models into practice may strengthen training, and improve outcomes and workforce resilience. Further evidence is needed to evaluate long-term benefits and cost-effectiveness in different clinical contexts.