Training on patients according to the principle of “see one, do one and teach one” no longer corresponds to today’s requirements and technical opportunities regarding education of surgical residents. During the Covid-19 pandemic, most hands-on training had to be discontinued, leading to an almost complete interruption of surgical education. Under the lead of the three clinical partners Kantonsspital St.Gallen, Centre Hospitalier Universitaire Vaudois, and Balgrist University Hospital, endorsed by the Swiss Surgical Societies, novel standardized and proficiency-based surgical training curricula are defined and interfaced to simulation tools. The four implementation partners VirtaMed AG, Microsoft Mixed Reality & AI Lab Zurich, OramaVR SA and Atracsys LLC, in collaboration with ETHZ and ZHAW develop these innovative training tools ranging from online virtual reality simulation, augmented box trainers, high-end simulators, to augmented-reality-enabled open surgery and immersive remote operation room participation. The proposed developments introduce a fully novel, integrative training paradigm installed and demonstrated on two example surgical modalities, laparoscopy and arthroscopy, while fully generalizable to other interventions. This will set new standards both in Switzerland and abroad.