The Fundamentals of Laparoscopic Surgery (FLS) training module is designed to provide essential surgical skills. During skill training of the FLS "suturing and intracorporeal knot-tying" task (FLS complex task) -the most di cult among the ve psychomotor FLS tasks, the error-related chain of mental processes is postulated to depend on the skill level leading to a difference in the contextual switching of the brain states on error commission between experts and novices. So, this study investigated changes in the brain states using simultaneously acquired functional near-infrared spectroscopy (fNIRS) and electroencephalography (EEG) signals during FLS complex task and following motor errors in thirteen right-handed novice medical students and nine expert surgeons. A brain state analysis of the quasi-stable EEG scalp topography (called microstates) changes was performed using 32-channel EEG data acquired at 250Hz (high temporal resolution). Six microstate prototypes were identi ed from the combined EEG data from experts and novices during the FLS complex task that explained 77.14% of the global variance.Analysis of variance (ANOVA) found that the proportion of the total time spent in different microstates during the 10-sec error epoch was signi cantly affected by the skill level (p < 0.01), the microstate type (p < 0.01), and the interaction between the skill level and the microstate type (p < 0.01). Brain activation based on the slower oxyhemoglobin (HbO) changes corresponding to the EEG band power (1-40Hz) changes were found using the regularized temporally embedded Canonical Correlation Analysis of the simultaneously acquired fNIRS-EEG signals. We found that the HbO signal from the fNIRS channels overlying left inferior frontal gyrus -opercular part, left superior frontal gyrus -medial orbital, left postcentral gyrus, left superior temporal gyrus, right superior frontal gyrus -medial orbital cortical areas showed signi cant (p < 0.05) difference between experts and novices in the 10-sec error epoch. Here, the left superior and inferior frontal gyrus areas are postulated to be related to the error perception, while the activation of the primary somatosensory cortex at the postcentral cortical area can be associated with the error-related corrective action underpinning the perception-action coupling model.