The simulation belly was designed to replicate the assessment findings of abdominal ascites in appearance, sound, and feel. The ascitic fluid often shifts as the patient moves in bed, sounds like moving water within the abdomen, and feels like fluid on palpation of the abdomen. The belly may be attached using Velcro straps to a mannequin or standardized patient playing the role. The simulation belly may also be used in a postpartum scenario to simulate a firm or boggy uterus after delivery. The realistic appearance, sound and feel of the simulation belly adds to the suspension of disbelief in simulation.