(a) a practice suturing pad for simulating human skin and underlying tissue, said pad including a foam layer having upper and lower surfaces and a latex rubber sheet adhesively attached in laminar contact to said upper surface of said foam layer;

(b) a supporting panel, said foam layer attached at said lower surface thereof to said supporting panel;

(c) a plurality of simulated growths disposed beneath said foam layer between said lower surface of said foam and said supporting panel; and

(d) a plurality of cavities formed in said foam layer, and a simulated growth disposed within each of said cavities in said foam layer.