This paper stipulates several technological research and development thrusts that can assist in modern day approaches to simulated training of minimally invasive laparoscopic and robot surgery. Basic tenets of such training are explained, and specific areas of research are enumerated. Specifically, augmented and mixed reality are proposed as a means of improving perceptual and clinical decision-making skills, haptics are proposed as mechanism not only to provide force feedback and guidance, but also as a means of reflecting a tactile feel of surgery in simulated training scenarios. Learning optimization is discussed to fine tune the difficulty levels of various exercises. All the above elements can serve as the foundation for building computer-based virtual coaching environments that can reduce the training costs and provide a broader access to learning highly complex, technology driven surgical techniques.