This Simulator gives students the opportunity to learn and train the techniques needed to treat the most common birth injuries. The student or teacher can cut the model after his needs to simulate all kinds of episiotomies or all stages of perineal laceration and to repair them. Embedded in the model there are representations of the bulbocavernous muscle, transverse perineal muscle and external anal sphincter, which can be cut and repaired individually. The tough tissue material is held in a plastic stand. The simulator comes with tissue pad in stand, instruments in foldover case, one suture and a soft carrying case.