This obstetrical simulator offers an unprecedented opportunity for students to master the techniques needed to repair most common birth injuries. By making their own incision into the soft, lifelike pad, students and instructors can create a traditional episiotomy or nearly any type of first- through fourth-degree lacerations. Embedded within the tissue are discreet structures representing the bulbocavernous muscle, transverse perineal muscle, and external anal sphincter. These muscles can be cut and repaired individually just as they would be in a real patient. Don’t be fooled by its incredible soft, realistic feel; the simulated tissue will remain tough and resilient through many training sessions. The lifelike feel allows the development of instrument handling skills, amount of tension on sutures, and different knot-tying methods. A fully adjustable stand holds the pad and molded base at any angle.