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Abstract Aims In Scotland, a small number of early surgical trainees have undertaken a core surgical training (CST) placement in small rural hospitals. This study aimed to explore and determine characteristics of surgical training in Scottish rural hospitals, identifying any advantages or capacity for improvement in these training environments. Methods Semi-structured interviews of individuals who have undertaken a CST placement in a Scottish rural hospital. Interview transcripts were anonymised and thematically analysed. Results Ten trainees were interviewed and 4 themes that highlight the benefits and challenges of rural surgical training were identified. Themes were identified from the trainees' reflections on their training experience. Theme 1 “Training as an opportunity to gain technical and non-technical skills” The findings reveal a complex landscape where rural trainees often experience high autonomy in clinical decision-making and broad-based clinical exposure. This exposure enriched their learning experience, provided comprehensive preparation for exams, and was complemented by excellent exposure to non-technical aspects of surgery. Theme 2 “Training as an opportunity to understand the healthcare environment” which trainees reported allowed them to see the struggles of the rural surgeon and skills needed as a generalist. Theme 3 “Training as a community experience” Trainees reported on the community within and outside the hospital. Theme 4 “Training as an overall self-development experience” where trainees report on the experience uniqueness and its importance for their growth. Conclusion Rural surgical training offers a unique and valuable experience, fostering not only technical skills but also essential non-technical competencies in a supportive and collaborative environment.