Purpose <p>Africa bears 25% of the world’s burden of surgical disease with only 3% of the global health workforce. Laparoscopy is now the standard approach for many surgical conditions and yet laparoscopic training remains mostly inaccessible to practicing surgeons in low- and middle-income African countries (LMICs). The goal of this study is to assess the efficacy of a low-cost, locally accessible laparoscopic skills course designed to meet the critical need in this region.</p> Methods <p>ALL-SAFE is a global surgical collaborative that designed a low-cost laparoscopy training system with modules simulating laparoscopic salpingostomy for ectopic pregnancy and laparoscopic appendectomy for appendicitis using locally accessible materials. A laparoscopic skills course was conducted by ALL-SAFE in a large tertiary-care hospital in Abuja, Nigeria, in October 2023. During the 2-day course, participants engaged in didactic lectures on the physiology and mechanics of laparoscopic surgery, practiced basic laparoscopic skills, observed two live laparoscopic cases, and completed the ALL-SAFE ectopic pregnancy and appendectomy simulated procedures on individual box trainers. Participants completed pre- and post-course surveys to assess their confidence in the knowledge and skills required for laparoscopic surgery.</p> Results <p>100% (<i>n</i> = 32) of the participants completed the pre-course survey and 71.9% (<i>n</i> = 23) completed the post-course survey. Course participants were mostly male (81.3%, <i>n</i> = 26), while 46.9% (<i>n</i> = 15) were general surgeons, 25% (<i>n</i> = 8) were urologists, and the remaining represented other surgical subspecialties. While most participants reported that they had access to a laparoscopic tower at their hospital (93.8%) and they had previously observed laparoscopic cases (62.5%), 50% (<i>n</i> = 16) said that this ALL-SAFE course was their first exposure to laparoscopic simulation. Prior to the course, 46.9% of participants felt “not at all confident” and 37.5% felt “slightly confident” in performing a laparoscopic appendectomy. Following the course, 39.1% of participants felt “very confident” and 34.8% felt “moderately confident”. All participants felt that they were successful in achieving their educational goals for the course (17.4% moderately successful, 56.5% very successful, 26.1% extremely successful).</p> Conclusion <p>A short laparoscopy training course using a low-cost platform was successful at improving confidence in performing laparoscopic surgery and achieving the educational goals of a diverse group of Nigerian surgeons. Hosting similar courses in other African LMICs may improve dissemination of laparoscopic surgical skills in this region.</p>