Healthcare and medical education faces an ethical impasse on using patients as practicing tools as it is bounded by an obligation to provide optimal treatment while ensuring patient safety. To this end, the latest concept of simulation plays a crucial role in acclimatizing healthcare professionals with all the required skills in performing the most complicated procedures without risking patient safety. Simulation based training has been standardized in various high-risk professions such as aviation, military and nuclear power to assure safety and curtail risk. Modern healthcare also seeks such competency based instruction. Simulation based medical education not only helps in error management, training for risky procedures and assessing competences but also provides a safe learning environment for repeated practice of meta-cognitive and psycho-motor skills.