Dedicated hepatobiliary fellowship programs sharply boost surgical confidence and competence, crucial for today’s complex liver surgeries.

• Fellows showed a confidence jump from 2.5 to 9 out of 10 in performing right hemihepatectomies after training.
• Median surgical volume included 65 liver resections, with minimally invasive exposure rising from 10 to over 20 cases in five years.

Over 80% of fellows published research, and 83% secured consultant positions within a year.

Programs must integrate robotic surgery training to remain relevant as techniques evolve.