Standardised assessment is key to structured surgical training. Currently, there is no consensus on the effectiveness of surgical assessment tools in gynaecologic surgery. The purpose of this review is to identify and assess measurement characteristics for assessment tools for measuring technical skills in gynaecologic surgery. Eight studies out of the 544 identified fulfilled the inclusion criteria. The assessment tools were categorised as global rating scales, global and procedure rating scales combined, task-specific rating scales or as non-procedure-specific error assessment. A combination of global and task-specific assessment tools appears to be the most comprehensive solution for observational assessment of technical skills