Introduction: Education and training in surgery is in the middle ofapprenticeship style of learning especially in operating room with littleimportance of understanding on how trainees learn.Methods: This training is one of the most difficult types of training. Medicaltraining and expertise are the specialty of this education system. We can name these complex fields as “Operational Strategies”. The strategies are includes of “what to do”, “what to think” and “what to create”. These strategies are good to test and train higher functions in persons who have professional’s positions.Results: Most of educational fields are complex. It means that the training is not limited in an area and includes of theory fields, areas of decision making and areas of handy and practical skills. These fields are the most relevant skills or expertise which individual must be informed of the performance of maintenance and repair or upgrade and make a new system.Conclusions: The operational strategy is a new training strategy for surgerystudents. It is useful to train surgery students to modify and improve theirpractices and doing surgeries and treating patients in best conditions.Keywords: Learning, Strategy, Surgery, Training.