My facility has been planning to start a new procedure that involves new equipment. We were supposed to be trained on it a week and a half ago by the company rep, but he had to cancel because his flight was delayed too long. We had one of these cases scheduled today, and not a single person in the room was happy that we were doing this case without adequate training. However, the surgeon insisted, and as the surgeon is the moneymaker, the surgeon won. Fortunately, the patient got through the surgery just fine, but were we unreasonable to expect training before starting a brand new complicated procedure with new equipment? This was not an emergency situation, although the expectation is that this procedure will almost exclusively be done as an emergency situation.