This paper presents an overview of an ongoing collaborative effort between researchers at The Ohio State University Hospitals, Immersion Corporation , and the Ohio Supercomputer Center to create and test a virtual simulator for training residents in the use of regional anesthesiology. Specific issues and difficulties of the epidural technique are used to develop a pilot system. We present our design and methodology, as well as considerations for system integration and design iteration. By providing a new form of procedural training in a nonthreatening environment, the simulator will increase the proficiency level of the resident in technique delivery and improve competency required for live human trials.