Aim: The purpose of our current research study was to examine preparedness of general surgery graduate trainees attending certified surgical specialty internships in Pakistan. Methods: The Foundation Council research committee created a multidomain, worldwide assessment survey, which was electronically distributed to any and all specialization programmed directors. Percutaneous surgery, bariatric, hepatobiliary, in addition thoracic specialties remained represented among those who responded. There were 49 quantitative items spread over five domains, as well as one or so more reflecting phenomenological questions/domains. Results: There would be a 66% number of responses (n=93/155). Interviewee program managers touched that novel fellows arrived poorly prepared for operating room, that 39 percent lacked physician ownership, that 32 percent might not self-sufficiently achieve laparoscopic cholecystectomy, in addition that 68 percent were unable to operate for 38 unmonitored minutes of an information. in order. In terms of laparoscopic abilities, 34% were unable to traumatically move tissue, 28% were unable to distinguish anatomical planes, and 59% were unable to suture. Furthermore, 29% of fellows were unfamiliar about therapy alternatives, and 27% have been unable to identify early indicators of problems. Furthermore, this remained perceived that most of novel associates lacked the ability to conceptualize, develop, and carry out academic tasks. Conclusion: After general surgical education, theme grouping of quantitative data indicated weaknesses in the domains of operating autonomy, progressing obligation, long-term follow-up, and academic emphasis.