The educational committee of the society of gastroenterological surgery made a rule that the specialist of gastroenterological surgery must have a title of a general surgeon which was approved by the educational committee of the Japan surgical society. This means that a specialist of gastroenterological surgery should be able to treat diseases in the area of the general surgery and should be able to do the primary cares for whole areas of gastroenterological diseases which are the upper and the lower intestinal diseases, hepato-bilial and pancreatic diseases in addition. The Japan society of gastroenterological surgery offers a 7 years long gastroenterological surgery training curriculum after graduate from a medical school to train the specialist of Gastroenterological surgery. In this 7 years training period, the Japan surgical society also offers a 5 years long general surgery training course in the first 5 years. These two courses are proceeding in parallel. The essential contents of these two courses are overlapped, so these common contents may count as experiences for both courses respectively.