Simulators for practicing trans-oral surgery and methods of use thereof, are described. The simulator may include a simulated soft palate musculature adjacent to the simulated hard palate, and a simulated mucosal layer covering at least a portion of the simulated hard palate and at least a portion of the simulated soft palate musculature, wherein the simulated mucosal layer is configured to conform to and follow the contours of surface features of the covered portions of the simulated hard palate and simulated soft palate musculature.