ABSTRACT Purpose The LRP has a steep learning curve to obtain proficiency during which patient safety may be compromised. We present an adapted modular training system which purpose to optimize the learning curve and perform a safe surgery. Materials and Methods A retrospective analysis of the LRP safe learning protocol applied during a fellowship program over eight years (2008-2015). https://www.roneverhart.com/1997-2005-BUICK-CENTURY-Engine-Starter-Motor-96K-Miles-3-1L-Sedan/