When the computing power of Xbox is connected to real medical instruments, medical training simulations of high risk, low frequency procedures can be conducted in the field. These procedures offer unique challenges for medics and physicians because they must be performed quickly and cleanly to avoid the risk of injury and potential fatality to the patient. Yet, they happen with such low frequency that only a low cost, commercial, simulation platform is cost-effective for on-site training of these procedures.

This need for a commercial simulation platform is especially acute for minimally invasive procedures such as endoscopic intubation owing to the complexities of the endoscopes used and the severity of the consequences of misuse. Virtual reality simulators allow practice on a virtual patient before performing actual surgery. The user "performs surgery" on the virtual organs by manipulating the tools, which may also be displayed on the screen as the user moves them. Using the Xbox, significant haptic information can be generated, closely simulating what is available to the practitioner in actual practice. Organs are replicated in a realistic virtual environment, recreated by inputting data from computerized tomography (CT) and magnetic resonance imaging (MRI) from scans of the patient.