FLS Study Guide 2026

Everything you need to pass the FLS exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

FLS exam key facts

  • The FLS passing score is set by the FLS committee from psychometric evaluation and standard-setting studies, and both the cognitive and manual skills assessments must be passed to receive the certificate. Source
  • An FLS certificate is dated and is valid for 10 years from the certificate issue date. Source
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📋 FLS Exam Format at a Glance

80
Questions
90 min
Time Limit
75%
Passing Score

📚 FLS Topics to Study (21)

✍️ Sample FLS Questions & Answers

1. The standard monitor height for a laparoscopic surgeon during FLS training should be:
✓ At or slightly below eye level, aligned with the surgical field

Monitor placement at or slightly below eye level allows the surgeon to maintain a neutral neck position and align visual gaze with the operative field on screen.

2. What is a best practice in Fundamentals of Laparoscopic Surgery pattern cutting?
✓ A method or technique recognized as superior based on evidence and expert consensus

Best practices are methods, techniques, or approaches that are recognized through evidence, research, and expert consensus as producing superior results and are recommended for adoption.

3. Which of the following is NOT an absolute contraindication for laparoscopic surgery?
✓ Bowel obstruction

Explanation: While bowel obstruction presents challenges for laparoscopic surgery, it is not an absolute contraindication. Laparoscopic techniques can often be used to diagnose and treat bowel obstructions, although careful patient selection and surgical expertise are required to minimize risks.

4. In Fundamentals of Laparoscopic Surgery, why is trocar placement knowledge important for professional certification?
✓ It demonstrates competence and ensures practitioners meet established standards

Professional certification in specific knowledge areas demonstrates that practitioners have met established competency standards, ensuring quality of service and public protection.

5. What is a best practice in Fundamentals of Laparoscopic Surgery intracorporeal suturing?
✓ A method or technique recognized as superior based on evidence and expert consensus

Best practices are methods, techniques, or approaches that are recognized through evidence, research, and expert consensus as producing superior results and are recommended for adoption.

6. During laparoscopic cholecystectomy, a clip is inadvertently placed across what appears to be the common hepatic duct. What is the immediate recommended action?
✓ Immediately convert to open surgery for biliary reconstruction

Injury to the common hepatic duct requires immediate conversion to open surgery for proper biliary reconstruction; attempting laparoscopic correction risks further injury.

🎯 Free FLS Practice Tests

📖 FLS Guides & Articles

Your FLS Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

What Practice Test Geeks adds beyond an AI chat for FLS

An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:

  • A timed, full-length FLS mock exam — 80 questions in 90 minutes with a 75% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
  • A fixed FLS question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
  • Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
  • A printable FLS cheat sheet you can print or save as a PDF.
  • FLS flashcards built from the same question bank.
  • Free FLS practice tests with the correct answer shown after each question.
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How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. flsprogram.org — Test delivery, score release, eligibility, exam format, passing score, registration, renewal, time limit, score validity · verified Oct 2026