In this ongoing research, we aim to enhance training of surgical residents and support ongoing performance development of surgical teams through the development of practical training tools using a serious games approach. This work will complement the Surgical Performance team at St Michael’s hospital, Toronto and OR BlackBox. We will refine translations of theoretical models of resiliency to develop high fidelity serious games. Enhancing and testing a three level serious game for developing resiliency behaviors among surgical teams. We will continue to refine existing prototypes for offline physical games and integrate these with existing OR BlackBox and SST software tools for surgical performance.