We are well into the second decade of the 21st century and many aspects of training seem to change at an exceedingly fast pace. Surgical training in this age is very different to what it was when the current supervisors were trainees themselves. This change, sometimes unjustified or unexplained, brings many new challenges to today’s ENT trainees. Some changes are brought to improve training, others to improve services but many are focused on patient and health professionals’ safety. Errors and untoward incidents are extremely costly in terms of time and resources; something all parties would rather avoid.