Ophthalmology residents must become competent in the use of a variety of intraocular lenses (IOLs) and refractive technologies designed to reduce spectacle use after cataract surgery. Our study of visual acuity outcomes with toric IOLs at the Harry S. Truman Memorial Veterans' Hospital revealed that residents achieved an uncorrected visual acuity of 20/40 or better in 88% of the surgeries they performed, a rate comparable to that reported by other residency programs and by cataract surgeons.