The provision of a paracentesis trainer to the RVH Liver Unit is the first of its type in Northern Ireland. The traditional method of training staff to drain fluid from a patient’s abdomen has been to learn the theory, observe a number of procedures and then undertake the procedure for the first time on a patient. The paracentesis simulation trainer now allows staff to learn the technique of fluid drainage in a safe training environment and to practice as much as is necessary to obtain the appropriate level of competency before performing the procedure on a patient. A syllabus for certification in training has been developed with the postgraduate deanery in NI (NIMDTA) with the first official course planned for Spring 2022. Our thanks go to the RVH Liver Support Group for funding the purchase.