Objective: The surgical training for endoscopic proficiency program is a collaborative project between "Society of American Gastrointestinal and Endoscopic Surgeons" (SAGES) and Olympus America Inc. dedicated to providing flexible endoscopy Training to surgery residency programs. Currently it lacks models for proficiency-based training. A "Surgical Training for Endoscopic Proficiency" (STEP) Program has been suggested through several research projects. Recent developments in surgical technologies in general and machine learning in particular have transformed the way experts envision the future of surgery. Surgical technology is aiming to improve the quality of interventional healthcare. In this publication, we review current endoscopic surgery practice, essential professional skills, training practices and finally describe a roadmap for a standard professional training program specification that grants gaining the required skills. Review and conclusions:The structured training framework should be the ideal model ensure safe implementation with development of metrics to grade successful learning and assessment of short-and long-term outcomes. The training improvement aspects should involve the following points:The Accreditation Council for Graduate Medical Education, RESEARCH ADRESSED COMPETENCIES: According to the "The Accreditation Council for Graduate Medical Education (ACGME)", Second Revision (Version 2), [1] published on January 2019, this research deals with related professional surgical skills as demonstrated in (Table 1).