Devices, systems, and methods appropriate for use in medical training using a patient simulator, various anatomical inserts, and an integrated camera and computer system are disclosed. In some instances, a surgical simulator is provided that includes a uterine assembly. The uterine assembly simulates the appearance and feel of natural tissue and includes a plurality of materials arranged and dimensioned to simulate anatomic structures such as a right fallopian tube, a left fallopian tube, a right ovary, a left ovary, a uterus having a cervix, a bladder, ureters, a peritoneum, a uterine artery, a uterine vein, a plurality of ligaments, an ovarian artery, an ovarian vein, a perineum, and a vagina. In some implementations, at least the uterine artery, uterine vein, ovarian artery, and ovarian vein are in communication with a fluid supply such that each is pressurized with a blood-like fluid to simulate natural arteries and veins.