Purpose: High-level evidence exists for the benefit of simulation training for developing laparoscopic technical skills and improving patient outcomes. Despite this, few simulation-based training programmes on laparoscopic technical skills exist in Aotearoa/New Zealand. The purpose of this pilot is to explore the implementation of a structured simulation-based training programme on laparoscopic technical skills in a busy tertiary teaching hospital. Methodology: A pre-implementation survey was distributed to all stakeholders in the Department of General Surgery to guide the programme's implementation. An eight-week structured programme was conducted using researched simulation equipment and software. An evaluation survey was again distributed following the implementation of the programme. Results: The response rate for registrars and house officers to the pre-implementation survey was 75% (15/20) and 48% (10/21), respectively. Registrars and house officers had slightly different preferences for the mode of delivery (individual vs group) and timing of the sessions. Six registrars (30%) and nine house officers (43%) participated in the sessions. Registrars who attended exhibited an improvement in technical skills that translated into the operating room. Five registrars (25%) and three house officers (14%) responded to the evaluation survey. The main barrier to participating was the high clinical load due to staff shortages, whilst the flexibility was highlighted as a facilitator. Conclusion: There is a willingness to participate in simulation-based training to develop laparoscopic technical skills. Despite the flexibility of the session times, without protected teaching time, clinical commitments impeded wider participation from registrars and house officers.