An anastomosis training device and related methods of use that provides medical professionals with real-time feedback of pulling force. The anastomosis training device can include a housing portion, a spring member, a proximal catheter portion and a distal catheter portion. The housing portion can include an external tubing member that slidingly retains an internal tubing element and the spring member. A proximal wire assembly attaches the spring member to a manipulation assembly and a distal wire assembly attaches the spring member to a retention member that allows the anastomosis training tool to be anchored to a suitable surface. As a user applies a pulling force to the manipulation assembly, the internal tubing member is slidably withdrawn from the external tubing member to expose a visible force scale that indicates the level of pulling force being applied by the user.