Key pointsWhat's already known about this topic? Twin to twin syndrome (TTTS) is a serious complication of monochorionic twin pregnancy The treatment of choice is fetoscopic laser ablation of placental anastamoses Simulation plays an important role in teaching this high‐acuity procedure What does this study add? We report the development of a high‐fidelity digital simulation system for teaching TTTS fetoscopic lasers Remote teaching has been demonstrated to work well with this system This simulator is robust, easy to store and assemble and relatively inexpensive.