Pathways GESEA Educational Programme
Acquire your GESEA MIGS Diploma
Minimal Invasive Gynaecological Surgeon (MIGS)
The GESEA MIGS Pathway allows you to acquire your GESEA Diploma for ESGE Minimal Invasive Gynaecological Surgeon (MIGS):

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GESEA Level 1 Certificate
Your entry point into the Operating Room
Prerequisites for GESEA Level 1 Certification
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GESEA Level 1 E-Learning Certificate of Completion
When applying for a level 1 certification, submit your Certificate of Completion together with your application or bring it with you at the certification session.



(2) three practical exams, LASTT1, SUTT1 and HYSTT1.
**Please be aware that not all of the multiple choice questions in TESTT1 are included in the content of the preparatory tutorials on ESGE Academy. TESTT1 also contains additional questions in line with the expected knowledge level for surgeons participating in Level 1 of the GESEA Educational Programme.
GESEA Level 2 MIGS Certificate
Start performing basic endoscopic procedures
To view GESEA Level 2 ECRES, please click here
Prerequisites for Level 2 GESEA MIGS Certification
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GESEA Level 1 Certificate
First acquire the GESEA Level 1 Certificate before you can apply for the next level. Provide your certificate as proof that you have completed the first level upon registration for a second level certification session.
You can apply for a bypass if you meet the following criteria:
- Must provide a letter signed by head of department, confirming applicant has experience in major surgeries in both laparoscopy and hysteroscopy
- Must provide proof of attendance at a recognised suturing workshop
Note that you still need to complete the GESEA Level 1 eLearning on ESGE Academy.
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GESEA Level 2 MIGS E-Learning Certificate of Completion
When applying for a Level 2 MIGS Certification, submit your Certificate of Completion together with your application or bring it with you at the certification session.



(2) three practical exams, LASTT2, SUTT2 and HYSTT2.
**Please be aware that not all of the multiple choice questions in TESTT2 are included in the content of the preparatory tutorials on ESGE Academy. TESTT2 also contains additional questions in line with the expected knowledge level for surgeons participating in Level 2 of the GESEA Educational Programme.
GESEA MIGS Diploma
Validate your surgical competence
Prerequisites for GESEA MIGS Diploma
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MIGS Certificate
You have acquired the MIGS Certificate.
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ESGE Membership
You are a member of the ESGE, either individually or through one of its corporate member societies. If you are not yet, become a member now.

You must provide your documented testimony of surgical clinical practice curriculum a maximum period of 5 years together with supporting documentation to diploma@esge.org.


When the ESGE has received all your recorded procedures, they will be expert-reviewed and rated. Apply now for your GESEA MIGS Diploma through the ESGE website.
Acquire your GESEA Robotics Diploma (Optional)
Validate your surgical competence
The GESEA Robotics Pathway allows you to acquire your Diploma of Gynaecological Robotics Surgeon.
For more details, click the button below
GESEA Level 3 Expert Level Oncology Diploma


Prerequisites for Level 3 Expert Level Oncology
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GESEA MIGS Diploma
You have acquired the GESEA MIGS Diploma or ESGO Fellowship Certificate
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or
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Peer Reviewed Laparoscopic Hysterectomy or ESGO Fellowship Certificate
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Achievement of necessary surgical competence

Provide documented testimony
You must provide your documented testimony of surgical clinical practice curriculum covering the 5 years after completion of specialty training (upload here)
Expert review of Surgical Procedure

Prerequisites;
GESEA MIGS Diploma or Expert review of Laparoscopic Hysterectomy certificate or ESGO Fellowship Certificate (upload here)

Surgical Procedure Steps
To attain Peer Reviewed Laparoscopic Hysterectomy certificate complete the following steps:
Submit the schedule of your Laparoscopic Hysterectomy stating the date when you will perform the actual procedure, you cannot use existing recorded video material.
Submit your Laparoscopic Hysterectomy video here following the criteria below:
Laparoscopic Hysterectomy
The surgeon is expected to perform a total laparoscopic hysterectomy of own choosing.
The procedure will be evaluated by 2 international expert reviewers on 4 steps of the hysterectomy: Dissection of the broad ligament and the IP ligament, Bladder Dissection, Colpotomy, Laparoscopic vaginal suture.
For these 4 steps, a specific evaluation scale is used by the reviewers: the H-OSATS scale (Knight S et al. PLoS One. 2018. 2;13(1): e0190580.)
For recommendations on the technical aspects of a laparoscopic hysterectomy, please consult with attention the article Surgical steps of total laparoscopic hysterectomy as published in Facts, Views and Vision in ObGyn, the journal of the ESGE.
Video examples for these 4 steps are also available in this section.
GESEA Expert Level 3 Oncology eLearning module

Purchase the GESEA Expert Level Oncology eLearning module and complete the module (certificate of completion once all lectures are viewed)

Apply for an Observership
Apply for an Observership at an accredited ESGO centre
Period of attachment 4 weeks (within one year) and minimum one week per centre
For applicant working in an existing centre, 2 weeks must be in a different centre*
Cost vary for different centres, check at the time of application. Please note that the programme fee does not include any additional costs related to the observership, such as hospital administrative fees, travel, accommodation, or meals.
Provide certificate of completion of observership (upload here)
Submit Procedural Videos

Submit Procedural Videos for Expert Peer Review
Submit the schedule of the following procedures:
Stating the date when you will perform the actual procedure, you cannot use existing recorded video material.
Fee for GESEA Expert Level 3 Oncology Diploma
Payment Module | Total Amount | €1200,00* | |
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Criteria to enter (*Laparoscopic Hysterectomy) |
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Access to the GESEA Expert Level 3 - Oncology eLearning | 1st Payment | €200,00 | |
Application for an Observership | 2nd Payment | €200,00 | |
Completion of Observership | 3rd Payment | €200,00 | |
Submission of video | 4th Payment | €400,00 | |
*Laparoscopic Hysterectomy Expert Review | €200,00 |
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Please note that the programme fee does not include any additional costs related to the observership, such as hospital administrative fees, travel, accommodation, or meals. |