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Learning and mastering any new skill can be frustrating and test patience and resolve. The merits of developing microsurgical skills are numerous and efforts spent mastering magnification surgery are worthwhile.

Be certain to approach procedures and practice time well rested and free of any significant physical, mental, or emotional burden. Ensuring the operating arena is equipped; the surgical table and stools are properly adjusted; and the operating microscope or surgical loupes are properly functioning, ergonomic, and customized will help to limit physical burden during surgery. Avoid strenuous exercise, including isometric exercises and lifting heavy objects prior to performing or practicing microsurgical procedures. Strenuous exercise, especially of the forearms, brachial area, and shoulders, predisposes to exaggerated physiologic tremor. If possible, avoid alcoholic beverages and the excessive use of stimulants including nicotine and caffeine the day before a procedure. It is important to consider what the surgeon's normal intake of stimulants such as caffeine is and to limit intake to only the amount normally consumed – no more or less – as withdrawal from caffeine and other stimulants can also predispose to tremor.

To prevent mental burden, deal with telephone calls, messages, e‐mails, and other correspondence prior to the procedure as much as possible, and assign personnel to limit interruptions in the operating arena to only those that are most emergent.