In Our study, 10% of the residents were apprehensive and consulted a senior ENT surgeon before joining and 50% consulted during residency as only 10% were given some form of laterality related mentoring. Open-ended questions were included seeking their opinion regarding difficulties faced with any specific surgical procedure and their advice for the younger generation of left-handed otorhinolaryngology surgeons. The survey also intended to find out the procedure which caused maximum obstacle while learning and it was observed that Endoscopic nasal surgeries were the once which were most challenging (80%) while other nasal surgeries and microscopic ear surgeries were perceived as hinderance by only 2 (10%). Table 3 Procedure related perceptions of Left-handed Otorhinolaryngology resident surgeons (n20). [Extracted from the article]