Background: Robotic assisted laparoscpic (RAL) surgery has contributed to reducing the morbidity associated with performing complex urological procedures. However, its complications can be catastrophic if they are not well managed. Since complication rates of minimally invasive surgery are low, most surgical teams do not have the opportunity to practice or develop the necessary skills to handle RAL emergency situations. Consequently, we designed a course to provide experience in managing major vascular injuries and CO2 embolism occurring during RAL surgery. Aside from providing the needed practical experience, the purpose of this course is also to train the surgical team in utilizing a standardized protocol in management of these potentially catastrophic emergencies.