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Medical Faculty of University of Helsinki desires to improve teaching and learning methods based on simulating techniques. The aim of this study is to describe the development process of a Skills lab and peer-assisted learning. We inquired students' and teachers' opinions and wishes on skills training, and use of the Skills lab by web questionnaires. After analyzing results, we purchased numerous new training phantoms, recruited three peer assistants, expanded opening hours, and started collecting feedback by a web form. 220 students and 52 teachers answered, their wishes for new skills training possibilities were surprisingly similar. In first three months, 66 students' average grade for the expanded Skills lab was 4.5. Both students and teachers consider skills lab training beneficial and worth increasing. A diversely equipped Skills lab attracts students, but continuous advertising is essential. Students should be inspired to train by themselves too, in order to gain enough repetition.