The following table lists the procedures pertinent to gynecology and summarizes the level of technical proficiency that should be achieved by a graduating resident. The resident should either understand a procedure (including indications, contraindications, and principles) or be able to perform it independently. These distinctions are based on the premise that knowledge of a procedure is implicit in the ability to perform it.

	Understand/Assist	Perform
Colectomy (partial or total)	x
Colostomy	x
Enterocele Repair – Abdominal		x
Enterocele Repair – Laparoscopic	x
Enterocele Repair – Vaginal	x
Fistula Repair – Rectovaginal	x
Fistula Repair – Uterovaginal	x
Fistula Repair – Enterocutaneous	x
Hysterectomy – extrafascial		x
Hysterectomy – radical	x
Lymph node biopsy/dissection – Axillary	x
Lymph node biopsy/dissection – Inguinal	x
Lymph node biopsy/dissection – Pelvic	x
Lymph node biopsy/dissection – Sentinel	x
Paracentesis		x
Pelvic exenteration	x
Port Placement	x
Presacral Neurectomy – Abdominal	x
Presacral Neurectomy - Laparoscopic	x
Radiation Therapy – Brachytherapy	x
Radiation Therapy – External Beam	x
Radiation Therapy – Interstitial	x
Resection of Large and small Bowel	x
Staging Laparotomy – Biopsy of pelvic lymph nodes	x
Staging Laparotomy – Biopsy of peritoneal implants & washings		x
Staging Laparotomy – Cytologic smear of diaphragm		x
Staging Laparotomy – Exploration of abdomen		x
Staging Laparotomy - Infracolic omentectomy		x
Suction Evacuation of Molar pregnancy		x
Trigger Point Injection	x
Tubal Reanastomosis		x
Uterine Suspension		x
Vaginal Reconstruction – Gracilis	x
Vaginal Reconstruction – Martius	x
Vaginal Reconstruction – Skin graft	x
Vaginal Reconstruction – Transverse rectus abdominus myocutaneous	x
Venous access device placement	x
Vulvectomy – radical	x
Wound care – placement of facial or skin graft	x
Wound care – repair of dehiscence	x	x
Wound care – Secondary closure		x