While there are not consistent and enforceable regulations to robotic colorectal surgery training, there are guidelines published by the Food and Drug Administration (FDA), the manufacturer [3], and the professional societies [4]. The Association of Program Directors in Colon and Rectal Surgeons (APDCRS) has systematically developed and implemented a training curriculum since 2010 which has evolved to provide inclusive training to all colorectal fellows in the United States and Canada [5] (Fig. 5.1). Feedback from trainees who have completed the curriculum has been universally positive [6]. This is borne out in practice patterns. Young Surgeons Committee of the American Society of Colon and Rectal Surgeons surveyed their members and found that 92% of that group has incorporated robotics into their practice [7]. They also found that there was a preference for robotics for pelvic surgery, especially rectal cancer. A broader survey of contemporary graduates of colon and rec­tal training programs found that despite signicant limita­tions, robotics was a part of the practice for a large proportion of surgeons, even if they were not formally trained during fellowship [5].