PrimexSurgeryFRACS General Surgery
FRACS · Royal Australasian College of Surgeons; General Surgery Fellowship

FRACS GS / operate.

SAQ and spots grader with examiner-style marking, operative and anatomy viva simulator with voice mode, spaced-repetition flashcards, and sourced study notes across all nine general surgery subspecialties. Built for the depth the Fellowship vivas demand.

Pass rate
~60%
per sitting (Written)
Sittings per year
1
Written + Viva: annually
Format
SAQ + Spots + 5 Vivas
80 images · 6 SAQs · 5 viva stations
Topics covered
109
study notes · 2374 flashcards
Organising college
RACS
Not affiliated with Primex
· Exam domains ·
Nine subspecialties.
One complete general surgeon.
~25%
Upper GI & Colorectal
Oesophageal, gastric, and colorectal malignancy staging, operative approach, and oncological principles. Inflammatory bowel disease, diverticular disease, and anorectal conditions with operative decision-making.
Ivor-Lewis · TME · Whipple · Hartmann's · IPAA · Anorectal fistula · Laparoscopic approach
~25%
Hepatobiliary, Pancreatic & Hernia
HPB surgery at Fellowship level: liver resection, Whipple procedure, bile duct reconstruction, and management of pancreatic malignancy and pancreatitis. Hernia repair across all types with laparoscopic and open approaches.
Couinaud segments · ERCP · Portal vein embolisation · Lichtenstein · TEP/TAPP · Component separation
~25%
Breast, Endocrine, Vascular & Trauma
Breast cancer triple assessment, sentinel node biopsy, and reconstruction. Thyroid and parathyroid surgery. Peripheral vascular disease, acute limb ischaemia, and abdominal aortic aneurysm. Damage control surgery and trauma laparotomy.
WLE/SLNB · Total thyroidectomy · Carotid endarterectomy · AAA · Damage control · ATLS priorities
~25%
Anatomy, Pathophysiology & Operative Principles
Regional surgical anatomy tested in viva format. Pathophysiological reasoning across GI, HPB, and endocrine disease. Operative principles: access, haemostasis, anastomosis, reconstruction, and perioperative management of the surgical patient.
Calot's triangle · Hepatic anatomy · TNM staging · Wound complications · Nutritional support · Anastomotic leak
Feature 01 · SAQ Grader
Six SAQs. Full marking. Examiner standard.

The FRACS Written includes six SAQ questions in three hours, each requiring structured surgical reasoning with specific operative details, staging systems, and evidence-based management. The Primex SAQ grader generates questions in authentic FRACS format, marks every marking point, and gives a tier with an examiner-style model answer for each response.

  • FRACS-format SAQs across all surgical subspecialties
  • Pass / Borderline / Distinction tier with marking commentary
  • Every marking point checked: operative indications, staging, complications
  • Model answer at FRACS examiner standard with specific surgical detail
  • Timed mock: 6 questions, 3 hours
SAQ result with surgical question, marking points and model answer
Feature 02 · MCQ Practice
Surgical clinical vignettes. Full explanations.

Fellowship-level MCQs across all nine general surgery subspecialties. Questions are framed as operative decision-making scenarios: which approach, which staging, which investigation changes management. Full explanations for every option with community answer distributions after each question.

  • Fellowship-level SBA questions across all nine subspecialties
  • Operative decision-making framing: approach, staging, investigation
  • Explanation for every option, including the distractors
  • Community answer distribution after each question
  • AI-generated, curriculum-mapped, endless supply
General surgery MCQ with operative decision vignette and explanation
Feature 03 · Viva Simulator
Five vivas. An AI examiner. Voice mode.

The FRACS Fellowship includes five viva stations: Anatomy (32 min), Operative (30 min), Clinical/Trauma (40 min), Pathophysiology (30 min), and Clinical Reasoning (30 min). The Primex viva simulator runs each station format with an AI consultant examiner who probes your operative reasoning, anatomy knowledge, and clinical decision-making. Voice mode lets you speak your answers.

  • Five viva station formats matching the real FRACS Fellowship structure
  • Voice mode: speak your answers, examiner responds and probes further
  • Anatomy viva: identify structures, describe operative relations and hazards
  • Operative viva: justify your approach, handle complications, manage intraop findings
  • Debrief with specific learning points after each viva session
Operative viva with examiner question and candidate response in surgical voice mode
Feature 04 · Flashcards
2374 cards including 98 visual image cards.

2374 curriculum-mapped flashcard cards covering all nine general surgery subspecialties, with 98 visual image cards across operative anatomy, specimen pathology, and imaging interpretation. Spaced repetition keeps the operative detail in memory between sittings. Covers TNM staging, classification systems, drug doses, and operative steps.

  • 2374 cards including 98 visual image cards
  • Visual cards: operative anatomy, pathological specimens, imaging
  • TNM staging, Hinchey, Forrest, Bismuth-Corlette classification systems
  • Operative steps and perioperative management algorithms
  • One click from card to full study note
Surgical flashcard with operative anatomy and spaced repetition buttons
Feature 05 · Study Notes
Every topic. Operative detail. Referenced.

Sourced, structured study notes for all 109 FRACS General Surgery topics. Written to a consistent seven-section format with operative detail throughout: staging systems, surgical approach decisions, intraoperative steps, and complication management. Referenced to NCCN, ANZGOSA and current Australian oncology guidelines.

  • All 109 FRACS GS curriculum topics across nine subspecialties
  • Operative context: approach, key steps, anatomical hazards, complications
  • Referenced to NCCN, ANZGOSA, RACS position statements, and primary literature
  • Full-text search across all notes
  • Linked from MCQ explanations, SAQ feedback, and viva debriefs
Study note with operative steps, staging system and surgical complications section
· About this exam ·
The FRACS General Surgery Fellowship Examination

The FRACS General Surgery Fellowship Examination has a written component and an oral viva component. The written examination includes an image spots paper (80 images, 2 hours) and a structured answer questions paper (6 questions, 3 hours). The oral component comprises five viva stations: Anatomy (32 min), Operative Surgery (30 min), Clinical Surgery and Trauma (40 min), Pathophysiology (30 min), and Clinical Reasoning (30 min). Candidates must demonstrate operative decision-making, anatomical knowledge, staging and oncological principles, and management of surgical complications across the full breadth of general surgery.

  • OrganiserRoyal Australasian College of Surgeons (RACS)
  • FormatWritten: Spots (80 images, 2 hr) + SAQ (6 questions, 3 hr). Oral: 5 viva stations; Anatomy, Operative, Clinical/Trauma, Pathophysiology, Clinical Reasoning
  • SpecialtiesUpper GI, Colorectal, HPB, Hernia, Breast, Endocrine, Vascular, Trauma, Surgical Oncology
  • SittingsOnce yearly; written and viva components
  • Pass rateApproximately 60% per sitting for the written component
What you get inside Primex
  • Sourced study notes covering all 109 FRACS General Surgery topics
  • Per-LO focused notes mapped to the FRACS GS curriculum
  • Curriculum tab with checkboxes and per-section progress bars across nine subspecialties
  • Spaced-repetition flashcards across 13 card types, including image-based spots
  • Unlimited curriculum-mapped MCQ practice with full option explanations
  • AI viva simulator across Anatomy, Operative, Clinical/Trauma, Pathophysiology and Clinical Reasoning stations
Official RACS and Australian resources
  • RACS Fellowship exam blueprints and SAQ samples (surgeons.org)
  • NCCN Clinical Practice Guidelines; oncological staging and management
  • ANZGOSA guidelines; upper GI and colorectal oncology
  • Therapeutic Guidelines (eTG); UpToDate
· Pricing ·
Every plan starts with
a 7-day free trial.
Starter
$9.99
7 days free, then $9.99/mo
  • One specialist exam (your choice)
  • Study notes for every curriculum topic
  • Flashcards with spaced repetition
  • 10 MCQs per topic (sampler)
  • Study plan with pace tracking
  • AI viva simulation & voice mode
  • SAQ grader & AI marking
  • MCQ drill mode
  • SAQ question bank & sessions
  • Community feed
Start free trial
Monthly
$24.99
7 days free, then $24.99/mo
  • All 21 specialist exams: SAQ, MCQ, Viva & Voice
  • Flashcards with spaced repetition & MCQ drill
  • Study notes for every curriculum topic
  • SAQ question bank & sessions
  • Study plan with pace tracking
  • Community feed
Start free trial
3 Months
$59.99
7 days free, then $59.99/3mo
= $19.99/mo · save 20% vs monthly
  • All 21 specialist exams: SAQ, MCQ, Viva & Voice
  • Flashcards with spaced repetition & MCQ drill
  • Study notes for every curriculum topic
  • SAQ question bank & sessions
  • Study plan with pace tracking
  • Save 20% vs monthly
Start free trial
Important: Step 2 of 2

After payment, you'll land on a confirmation page. Click the button there to create your account and your subscription links automatically. If you pay with Apple Pay or Google Pay, use the button on that confirmation page before closing it. No email matching needed; it connects via a one-time link.

Free trial on every plan (7 days) Cancel anytime before trial ends Not affiliated with RACS
· Questions ·
Frequently asked
Yes. Each of the five FRACS viva station types has its own simulation mode. The anatomy viva asks you to identify structures, describe operative relations, and discuss anatomical hazards for specific procedures. The operative viva presents a clinical scenario and has the examiner probe your approach, intraoperative decision-making, and complication management. The pathophysiology viva presents a deranged result or postoperative scenario and probes your physiological reasoning. All five modes support voice response.
Yes. FRACS SAQs require specific operative detail: the name of the procedure, the approach, the key anatomical steps, the oncological margins, the perioperative management. Model answers include that level of specificity and the marking feedback flags when your answer is too generic. Examiners reward candidates who can demonstrate they have personally performed or assisted with the operations they're describing.
It covers the FRACS General Surgery curriculum specifically. That includes all nine subspecialties examined: upper GI, colorectal, HPB, hernia, breast, endocrine, vascular, trauma, and surgical oncology. Transplant, cardiac, and neurosurgery are not included as they are separate fellowships. The curriculum breadth reflects what the five viva stations and the SAQ paper assess.
Yes, and you can install it as an app. On iPhone: open in Safari, share button, Add to Home Screen. On Android: open in Chrome, Install app. Works offline and updates automatically.
Email primex.study.ai@gmail.com and we'll get back to you.