21 orthopaedic surgeons participated in this study. 14 inexperienced surgeons were randomized to undergo virtual reality (VR) training for shoulder arthroscopy or no training, while 7 experienced surgeons acted as controls. The primary outcomes were 5-parameters based on the VR unit. Results indicated the inexperienced intervention group showed improvement in arthroscopic skills (based on the VR) unit from the first testing period to the second testing period. The experienced surgeons demonstrated comparable outcomes between both testing periods, while the inexperienced control group demonstrated large variations in the outcomes. Further studies are required to determine the transferability of skills developed from the VR unit into the operating theatre.