A lateral tarsal strip is a surgical procedure commonly used in oculoplastics for the repair of entropion and ectropion. A lateral tarsal strip involves correction of horizontal lid laxity with incision at the lateral canthus. Residents may have difficulties with suture placement of the tarsal strip in the periosteum. In an effort to facilitate the surgical teaching of this technique, we propose a straightforward surgical simulation to reproduce the technique. A plastic skull model, standard duct tape, surgical instruments, and suture are needed.