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Guide:Surgery

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This is a page featuring information and guides about surgery.

Update History[]

Surgery is a feature in Growtopia that allows players to perform various types of surgeries on other players using various tools. It was first introduced in the Growtopia General Hospital update on November 21, 2013. It introduced a surgical pack costing 7,000 gems consisting of seven tools, namely, Surgical Sponge, Surgical Scalpel, Surgical Antibiotics, Surgical Stitches, Surgical Splint, Surgical Antiseptic and Surgical Anesthetic each with its unique ability when performing a surgery.

The pack was updated during Anniversary Week 2017 on January 6, 2017, adding six new tools, namely, Surgical Lab Kit, Surgical Defibrillator, Surgical Pins, Surgical Clamp, Surgical Transfusion and Surgical Ultrasound.

On June 13, 2019, during the Blocktor's Orders! update, x10 Med-A-Check and a Train-E was added to the pack. In addition, it introduced 'maladies' and the Dr. title, rewarded for successfully performing surgery 5,000 times (excluding on Train-Es).

As of Player Appreciation Week 2022 Day 5 on February 13, 2020. Heart Monitor, Hospital Bed, and Med-A-Check are no longer available in this pack. Two additional Surgery-related packs were added in the Growtopia Store: Surgery Starter Pack and Master Surgeon's Tool Bag.

On August 26, 2024, during Player Appreciation Week 2024 Day 1, a hospital update was introduced. With a Reception Desk, players can turn a world into a hospital and level it up to receive rewards such as an Auto Surgeon Station that allows players with a malady to cure themselves for a price and an Operating Table that summons a Surg-E daily. Additionally, it revamped maladies, granting players a debuff depending on the malady received.

Performing Surgery[]

A player can perform surgery on another player if the latter is standing on a Hospital Bed or Starship Sickbay Bed, and is not affected by the recovering mod. By using the Wrench and clicking the "Perform Surgery" button, the player can perform surgery on the other player. A Surg-E or Train-E is also available for players to be able to perform surgery without having other players as their patients.

Item Pack[]

There are three different packs, each pack containing different items/amounts:

Tools[]

The following tools are needed in performing surgeries. Not every single tool is required to complete a surgery; however, players are strongly recommended to carry at least 10 of each tool in case they are needed for different diagnoses.

Tool Usage and effect
32?format=png&fill=cb-20241201073810 Surgical Sponge Used to clean up the operation site and make it easier to see. It is the only usable tool when the message "You can't see what you are doing!" is shown.
32?format=png&fill=cb-20241201073810 Surgical Splint Used to fix fractures. If the patient has a broken bone, use this to fix it.
32?format=png&fill=cb-20241201073810 Surgical Antiseptic Used to clean the operation site. If the operation site is unsanitary, this can be used to make it clean. If the operation site has incisions or is bleeding and is unsanitary, a fever will start.
32?format=png&fill=cb-20241201073810 Surgical Antibiotics Used when the patient has a fever. If the patient's fever is climbing, this can be used to lower the temperature. The patient's temperature cannot be lower than 98.6.
32?format=png&fill=cb-20241201073810 Surgical Anesthetic Used to put a patient to sleep, turning its Awake status to Unconscious. Surgical Scalpel must only be used when the patient is not awake.
32?format=png&fill=cb-20241201073810 Surgical Scalpel Used to cut open the patient. The "Fix it" button will usually appear once the patient is diagnosed and enough incisions are made. It is also used to access shattered bones so that Surgical Pins can be used.

Every use of scalpel causes slightly more bleeding.

32?format=png&fill=cb-20241201073810 Surgical Stitches Used to decrease bleeding and close up incisions. This tool is usually used when the patient is losing blood before a Surgical Scalpel has been used or after the "Fix it" button when the player's incisions need to be stitched up.
32?format=png&fill=cb-20241201073810 Surgical Lab Kit Used to unlock Surgical Antibiotics. Surgical Antibiotics cannot be used before using this tool.
32?format=png&fill=cb-20241201073810 Surgical Clamp Used to clamp up blood vessels. This tool can be used to decrease blood loss, but it can only be used if the patient has at least one incision. Less effective than Surgical Stitches.
32?format=png&fill=cb-20241201073810 Surgical Pins Used to fix shattered bones. When used, a shattered bone turns into a broken bone. This item can only be used when the patient has at least one incision.
32?format=png&fill=cb-20241201073810 Surgical Transfusion Used to transfuse several pints of blood into a patient. Increases the strength of the patient's pulse, which is an indication of how much blood the patient has.
32?format=png&fill=cb-20241201073810 Surgical Ultrasound Used to diagnose a patient. If the root cause is not a fever, the player must use this to discover the patient's condition. It will also reveal the number of broken and shattered bones.
32?format=png&fill=cb-20241201073810 Surgical Defibrillator Used to shock a patient back to life. If the patient's heart has stopped, this must be given to the patient within 2 moves or the patient will die and the surgery will fail.
32?format=png&fill=cb-20241201073810 Surgical Love Mallet Used to remove the 'Love Struck' status that only appears during Valentine's Week. "Love Struck" causes the patient to become more and more unconscious until they become trapped in a permanent coma.
32?format=png&fill=cb-20241201073810 Empty Surgery Tray Unobtainable by players; used as an icon for when the player is missing a tool or if a tool is unavailable to use.
32?format=png&fill=cb-20241201073810 Med-A-Check Not a surgical tool but a consumable. Used to check if a player patient has a malady before performing surgery. Will not be consumed if the player does not have a malady. This is not a replacement for Surgical Ultrasound, which still must be used during operations with maladies.

Skill Fail/Surgeon Skill[]

Skill Fail is a randomly-generating mechanism designed to make surgery more difficult. During surgery, the surgeon may fail to use a tool properly. In the event of a skill fail, the tool either does nothing, does the opposite, or causes other negative effects. A player can improve their Surgeon Skill by completing surgeries (up to skill 100 for 100 surgeries). If a player's Surgeon Skill is higher, the player will receive less skill fails. Players with a low Surgeon Skill will face more skill fails, and it simulates the learning process of becoming better at surgery. Players with a Surgeon Skill of 100 can still face skill fails, however, the chances are relatively low.

The "Steady Hands" bonus from the Surgery role quests reduce the chance of skill fails slightly. Items like Skill Spice, Tea and Exquisite Bone Saw give the player mods that further halve the chance of skill fails.

The following messages will appear if the player has received a skill fail for a particular tool used, and some skill fails cause the conditions to worsen.

  • Surgical Lab Kit - "You contaminated the sample." No effect.
  • Surgical Antibiotics - "This is the wrong medication! The bacteria like it." Climbing temperature climbs faster and falling temperature falls slower.
  • Surgical Transfusion - "You spilled blood everywhere!" Makes it harder to see.
  • Surgical Antiseptic - "You spilled antiseptic on your shoes. They are very clean now." No effect.
  • Surgical Sponge - "You somehow managed to eat the sponge." No effect.
  • Surgical Stitches - "You somehow tied yourself up in stitches." No effect, but existing incisions can lead to bleeding which makes it harder to see.
  • Surgical Anesthetic - "You end up inhaling all the anesthetic yourself. You feel woozy." Makes it harder to see.
  • Surgical Ultrasound - "You scanned the nurse with your ultrasound!" No effect.
  • Surgical Defibrillator - "You electrocuted yourself!" Makes it harder to see.
  • Surgical Splint - "You somehow cut the patient." Causes bleeding, makes it harder to see.
  • Surgical Pins - "You jabbed the pin through the artery!" Causes bleeding, makes it harder to see.
  • Surgical Clamp - "The clamp fell out of your hand, oh well." No effect.
  • Surgical Scalpel - "This will leave a nasty scar, but you managed to cut the right place." Bleeding is increased.
  • Fix it - "You screwed it up! Try again." No effect, but the player must retry to fix the issue.
  • Surgical Love Mallet - "You hit yourself on the knee." Presumably no effect.

Types of Problems[]

The patient can have a multitude of conditions which must be addressed.

  • If the patient's temperature is rising, Surgical Lab Kit must be used to unlock the Surgical Antibiotics which can then be given to the patient.
  • If the patient has a weak pulse, Surgical Transfusion can be given to the patient.
  • If the patient's heart has stopped, Surgical Defibrillator must be given to the patient.
  • If the patient has any broken bones, Surgical Splint can be given to the patient to repair them.
  • If the patient is losing blood while incisions exist, either Surgical Stitches (reduces incisions and blood loss) or Surgical Clamp (reduces blood loss less than stitches) can be given to the patient. If the patient is losing blood when there are no incisions, only Surgical Stitches can be used. Using stitches when there is only 1 incision removes that incision and all blood loss.
  • Bleeding causes the operation side to become dirtier and the pulse to become weaker. If the patient is losing blood and the operation site is unsanitary, a fever will develop due to infection and Surgical Antibiotics must be used.
  • If the patient wakes up and not all incisions are patched, they will scream and flail, causing intense blood loss and difficulty in seeing, which can easily lead to a skill fail chain resulting in death by blood loss. Using Surgical Anesthetic early can prevent this.

Possible diagnoses[]

All steps shown below are to be performed after the Surgical Ultrasound (Surgical Lab Kit in some cases) displays the problem. Ideally, most pre-existing conditions should be addressed before diagnosis.

Problem Steps to fix
32?format=png&fill=cb-20241201073810 Broken Arm Use Surgical Splint to fix the broken bones. Use Surgical Stitches to stop the bleeding.
32?format=png&fill=cb-20241201073810 Broken Leg Use Surgical Splint to fix the broken bones. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel. Use Surgical Pins to fix any of the shattered bones. Close up the incisions made using Surgical Stitches and use a Surgical Splint to fix the broken bones.


32?format=png&fill=cb-20241201073810 Bird Flu
32?format=png&fill=cb-20241201073810 Turtle Flu
32?format=png&fill=cb-20241201073810 Monkey Flu

Use Surgical Lab Kit to unlock Surgical Antibiotics and use until the patient's temperature is no longer rising.
32?format=png&fill=cb-20241201073810 Nose Job Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually once). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Lung Tumor Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually once). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Heart Attack Use Surgical Antibiotics (optional) until the temperature is at 98.6. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually twice). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Brain Tumor Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually five times). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Liver Infection Use Surgical Antibiotics until the temperature reaches 98.6. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually twice). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Kidney Failure Use Surgical Antibiotics until the temperature is at 98.6. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually twice). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Appendicitis Use Surgical Antibiotics until the temperature is at 98.6. Use Surgical Antiseptic until site is clean. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually three times). Select the Fix it button and use Surgical Stitches to close up the incisions. If the patient's temperature rises above 100, use Surgical Antibiotics.
32?format=png&fill=cb-20241201073810 Swallowed a World Lock Use Surgical Antibiotics until the temperature is at 98.6. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually twice). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Herniated Disc/Damaged spine Use Surgical Antibiotics until the temperature is at 98.6. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually three times). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Broken Everything/Run over by a truck Use Surgical Antibiotics until the temperature is at 98.6. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears. Select the Fix it button and use Surgical Pins to fix the shattered bones, followed by Surgical Splints. If the patient wakes up, use the Surgical Anesthetic again. Close up the incisions using Surgical Stitches and use the Surgical Splints to repair the broken bones.
32?format=png&fill=cb-20241201073810 Serious Head Injury Use Surgical Stitches until the patient is no longer bleeding. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually once). Select the Fix it button and use Surgical Stitches to close up the incisions.
32?format=png&fill=cb-20241201073810 Serious Trauma with a punctured lung Use Surgical Stitches until the patient is no longer bleeding. Use Surgical Splint until no more broken bones. Use Surgical Antiseptic once. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually twice). Use Surgical Stitches to close up the incisions until one remains (to reduce bleeding). Use Surgical Pins to fix the shattered bones and close the remaining incision using Surgical Stitches.
32?format=png&fill=cb-20241201073810 Massive Trauma Use Surgical Stitches to stop blood loss. Use Surgical Transfusion until pulse is steady/good. Use Surgical Ultrasound to diagnose the patient. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually three times). Use one Surgical Stitches to stop bleeding. Use Surgical Pins to fix the shattered bones and close the remaining incision using Surgical Stitches. Use Surgical Splint until the patient no longer has any broken bones.
32?format=png&fill=cb-20241201073810 Torn Punching Muscle (malady) Use Surgical Anesthetic to put the patient to sleep. Use Surgical Scalpel to cut open the patient until the Fix it button appears (usually once). Use Surgical Stitches to close the incision.
32?format=png&fill=cb-20241201073810 Gem Cuts (malady) Use Surgical Anesthetic to put the patient to sleep. Use Surgical Scalpel (twice) until the message: "You have examined the wounds" appears. Select the Fix It button and use Surgical Stitches until there are no more incisions.
32?format=png&fill=cb-20241201073810 Broken Heart (malady) Use Surgical Lab Kit to unlock Surgical Antibiotics and use until the temperature is at 98.6. Put the patient to sleep using Surgical Anesthetic. Use Surgical Scalpel until Fix it appears. Use Surgical Pins twice on the broken bones. Use Surgical Stitches until no incisions. This malady has very frequent heart stops, hence the name "Broken Heart." It is HIGHLY recommended that to use any items/clothes that reduce the chances of a skill fail, such as Tea. Use Surgical Splint until no more bones are shattered.
PAW Icon 5 Grumbleteeth (malady) Use Surgical Antibiotics until the temperature reaches 98.6. Use Surgical Ultrasound to diagnose the patient. Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel until the Fix it button appears (usually once). Use Surgical Pins to fix the shattered bone and Surgical Splint to repair the broken bone. Use Surgical Stitches to close up the incision and select the Fix it button.
32?format=png&fill=cb-20241201073810 Chicken Feet (malady) Use Surgical Lab Kit to unlock Surgical Antibiotics and then reduce the patient's temperature to 98.6. Put the patient to sleep using Surgical Anesthetic. Use Surgical Scalpel until Fix It appears. Use Surgical Pins twice on the broken bones. Use Surgical Stitches to close the incisions and select the Fix It button. Use Surgical Splint until the patient no longer has broken bones.
32?format=png&fill=cb-20241201073810 Chaos Infection (malady) Use Surgical Sponge, then use Surgical Lab Kit to unlock Surgical Antibiotics to reduce temperature to 98.6. Fix the broken bones with Surgical Splint. Put the patient to sleep with Surgical Anesthetic. Use Surgical Scalpel until Fix it button appears (usually three times). Use Surgical Stitches to close incisions. Do note that this malady can give random temperature rise and drops, heart stops, and patient status fluctuations (such as the patient falling asleep without an anesthetic). It is advised to stay observant whilst performing this malady.
32?format=png&fill=cb-20241201073810 Lupus (malady) Use Surgical Lab Kit to unlock Surgical Antibiotics and then reduce the patient's temperature to 98.6. Then, use Surgical Stitches to stop the patient from bleeding. Put the patient to sleep with Surgical Anesthetic and use the Surgical Scalpel 5 times even if the Fix it button appears. Use the Surgical Clamp to fix any bleeding. If the patient's wolf skin tears, it will add an incision. Use Surgical Stitches to close incisions.
32?format=png&fill=cb-20241201073810 Brainworms (malady) Use Surgical Lab Kit to unlock Surgical Antibiotics and then reduce the patient's temperature to 98.6. Then, use Surgical Stitches to stop the patient from bleeding. Put the patient to sleep with Surgical Anesthetic and use the Surgical Scalpel once. Use the Surgical Clamp to fix any bleeding. Use Surgical Pins to fix the shattered bone and Surgical Splint to repair the broken bone. Use Surgical Transfusion until pulse is steady/good. Use Surgical Scalpel until Fix it button appears (usually one time). Use Surgical Antibiotics, Surgical Sponge, and Surgical Anesthetic to avoid having to use them while removing the worms, Fix it, if brains escape to the back of the brain, repeat. Use Surgical Stitches to close incisions.
32?format=png&fill=cb-20241201073810 Moldy Guts (malady) Use Surgical Lab Kit to unlock Surgical Antibiotics and then reduce the patient's temperature to 98.6. Put the patient to sleep using Surgical Anesthetic. Use Surgical Scalpel until Fix It appears (usually twice). Use Surgical Pins once on the broken bone. Fix it, Use Surgical Stitches to close the incisions and select the Fix It button. Use Surgical Splint until the patient no longer has broken bones. You are forced to use Surgical Sponge every few turns, "The patient's guts burst making it impossible to see anything!".
32?format=png&fill=cb-20241201073810 Ecto-Bones (malady) Use Surgical Anesthetic to put the patient to sleep. Use Surgical Splint until the patient no longer has broken bones (usually six times). Use Surgical Scalpel (once) until the message: "You've exposed the ribs" appears. Fix it, Use Surgical Pins twice on the broken bones. Use Surgical Splint until the patient no longer has broken bones. Use Surgical Stitches to close the incisions.
32?format=png&fill=cb-20241201073810 Fatty-Liver (malady) Use Surgical Lab Kit to unlock Surgical Antibiotics and then reduce the patient's temperature to 98.6. Use Surgical Sponge, use Surgical Antiseptic twice. Put the patient to sleep using Surgical Anesthetic (the patient will have frequent heart attacks from this point on). Use Surgical Scalpel three times. Use Surgical Stitches to close the incisions, Fix it. Use Surgical Sponge every time it's becoming hard to see. To avoid not being able to fix the common heart stops. "The fat build up has caused the pateint's heart to stop!".

Modifiers of diagnoses[]

During surgery, some patients may have special conditions on top of their problems. These can be revealed by Surgical Lab Kit or Surgical Ultrasound, and they make the operation more difficult.

  • "The patient exhibits very tough skin. Possibly a superhero." - requires an extra Surgical Scalpel to cut into the patient and use Fix It, Surgical Clamp and Surgical Splint.
  • "The patient has an antibiotic-resistant infection." - Surgical Antibiotics slow down the climbing temperature less.
  • "The patient is absolutely filthy." - the operation site will become unsanitary faster than normal, requiring more Surgical Antiseptic (or Surgical Antibiotics if the player chooses not to use antiseptic) during surgery.
  • "The patient is hyperactive." - After being given one Surgical Anesthetic, the patient wakes up on the 4th moves after use instead of the 10th.
  • "The patient is a hemophiliac." - the patient will bleed faster than normal.

Maladies[]

Maladies are a type of disease that was introduced as part of the Blocktor's Orders! update on 13 June 2019.

Regular Maladies[]

Regular maladies can be randomly obtained while performing certain actions that pertain to that malady. These actions include:

Maladies Action
Torn Punching Muscle 32?format=png&fill=cb-20241201073810 Punching
Gem Cuts 32?format=png&fill=cb-20241201073810 Picking up Gems
Broken Heart 32?format=png&fill=cb-20241201073810Performing Surgeries
Grumbleteeth Chat button Chatting
Chicken Feet 32?format=png&fill=cb-20241201073810 Walking

A player can also get these maladies during the Surgery Day event, where upon logging on, every player will get any of the five, along with a special prize that is rewarded if successfully completed:

Maladies Reward
Torn Punching Muscle 32?format=png&fill=cb-20241201073810 Punchy Fist
32?format=png&fill=cb-20241201073810 Head Mirror
Gem Cuts 32?format=png&fill=cb-20241201073810 Gem Hair
32?format=png&fill=cb-20241201073810 Ice Shard Hair (whilst Growch's heart size is at least 9)
Broken Heart 32?format=png&fill=cb-20241201073810 Loving Halo
32?format=png&fill=cb-20241201073810 Widow's Hat
32?format=png&fill=cb-20241201073810 Widow's Makeup
32?format=png&fill=cb-20241201073810 Widow's Corset
32?format=png&fill=cb-20241201073810 Widow's Skirt
Grumbleteeth 32?format=png&fill=cb-20241201073810 Terrifying Toothface
Chicken Feet 32?format=png&fill=cb-20241201073810 Chicken Feet

Consumed Maladies (Vile Vials)[]

Vile Vials are consumables that can give a player a malady and will also have a chance of giving a Vicious Malady. If a player has vicious malady, this will be harder to perform surgery but can reward special rewards such as Doctor's Blingin' Set. This can be made easier if the player has a UV Vaccine equipped.

The possible vile vials are:

Vile Vial Recipe Reward Possible reward from curing a vicious malady
32?format=png&fill=cb-20241201073810 Vile Vial - Lupus Possible bonus reward from completing a WOLFWORLD. 32?format=png&fill=cb-20241201073810 Snakewolf (very rare)

32?format=png&fill=cb-20241201073810 Howly Hat (rare)

32?format=png&fill=cb-20241201073810 Doctor's Lab Coat (uncommon)

32?format=png&fill=cb-20241201073810 Mean Wolf Block (common)

32?format=png&fill=cb-20241201073810 Doctor's Blingin' Mask
32?format=png&fill=cb-20241201073810 Vile Vial - Moldy Guts Possible bonus reward from infecting another player with the G-Virus or by infecting people while being a zombie. 32?format=png&fill=cb-20241201073810 Block o' Barf (rare)

32?format=png&fill=cb-20241201073810 Gut Buster (rare)

32?format=png&fill=cb-20241201073810 Stitchlips (common)

32?format=png&fill=cb-20241201073810 Doctor's Blingin' Booties
32?format=png&fill=cb-20241201073810 Vile Vial - Ecto-Bones Possible bonus reward from exploding a Spirit Storage Unit. 32?format=png&fill=cb-20241201073810 Ghostking's Glory (very rare)

32?format=png&fill=cb-20241201073810 Ecto-Lock (rare)

32?format=png&fill=cb-20241201073810 Steppin' Ghost (common)

32?format=png&fill=cb-20241201073810 Doctor's Blingin' Pants
32?format=png&fill=cb-20241201073810 Vile Vial - Chaos Infection Possible bonus reward from defeating Growlactus. 32?format=png&fill=cb-20241201073810 Hands of the Void (rare)

32?format=png&fill=cb-20241201073810 Feet of the Void (rare)

32?format=png&fill=cb-20241201073810 Chaos Corruption (very rare)

32?format=png&fill=cb-20241201073810 Scarf of Prometheus (very rare)

32?format=png&fill=cb-20241201073810 Doctor's Blingin' Cross
32?format=png&fill=cb-20241201073810 Vile Vial - Fatty Liver Possible bonus reward from cooking any meal with at least 95% quality. 32?format=png&fill=cb-20241201073810 The Fattenator (very rare)

32?format=png&fill=cb-20241201073810 Cupcake Hat (rare)

32?format=png&fill=cb-20241201073810 Big Belly (rare)

32?format=png&fill=cb-20241201073810 Doctor's Blingin' Top
32?format=png&fill=cb-20241201073810 Vile Vial - Brainworms Possible bonus reward from catching a perfect fish. 32?format=png&fill=cb-20241201073810 Clockwork Fish (random chance to get 1lb-200lb) (rare)

32?format=png&fill=cb-20241201073810 Wormtouch (very rare)

32?format=png&fill=cb-20241201073810 Doctor's Blingin' Cap

Malady De-Buffs[]

As of Player Appreciation Week 2024 - Day 1, being infected with a malady will grant you a de-buff that corresponds to the type of malady you have. These de-buffs include:

Malady Obtainment Debuff
32?format=png&fill=cb-20241201073810 Torn Punching Muscle · Punching · Reduced Punch Damage
32?format=png&fill=cb-20241201073810 Ecto-Bones · Ghost catching · Reduced Ghost Catching (by chance of a miss in catching a ghost)
32?format=png&fill=cb-20241201073810 Lupus · Completing WOLFWORLDs · Reduced WOLFWORLD Time (by cutting time to beat WOLFWORLD by half to 5 minutes)
32?format=png&fill=cb-20241201073810 Fatty Liver · Cooking · Reduced Cooking Quality
32?format=png&fill=cb-20241201073810 Chaos Infection · Completing Startopia voyages · Reduced Startopia Success (by higher chances of skill fails)
32?format=png&fill=cb-20241201073810 Moldy Guts · Killing zombies or infecting people · Reduced Zombie Hunting & Infection (by chance of a miss in killing a zombie or infecting people)
32?format=png&fill=cb-20241201073810 Chicken Feet · Walking and jumping · Reduced Speed & Jump Height
32?format=png&fill=cb-20241201073810 Brainworms · Fishing · Reduced Fishing Skill (by chance of a miss in catching a fish)
PAW Icon 5 Grumbleteeth · Talking · Reduced Talking
32?format=png&fill=cb-20241201073810 Broken Heart · Completing a Surgery · Reduced Surgery Skills (by higher chances of skill fails)
32?format=png&fill=cb-20241201073810 Gem Cuts · Collecting Gems · Reduced Gems (by cutting gems received by half when breaking blocks or collecting from ATM Machines)

Surgery Success and Failure[]

To finish a surgery, the patient must have the diagnosis fixed, all bones fixed, have no incisions, have no visible bleeding, have a body temperature of less than 100.5, and have a consciousness status that isn't "Heart Stopped". Pulse strength and temperature rising are not considered when calculating the success of an operation.

Failure of surgery can be caused by these issues below. The player will receive one of these messages below and get the Malpractice mod, which disallows the player from performing surgery for a period of time.

  • "The patient was not resuscitated in time. YOUR MEDICAL LICENSE IS REVOKED!" Surgical Defibrillator was not used within 2 moves after the heart stopped.
  • "You just stabbed someone who was fully awake! YOUR MEDICAL LICENSE IS REVOKED!" Surgical Scalpel was used while the patient was awake.
  • "The patient has bled out! YOUR MEDICAL LICENSE IS REVOKED!" Blood loss has caused the pulse to fall below "Extremely weak".
  • "The patient has succumbed to infection. YOUR MEDICAL LICENSE IS REVOKED!" The patient's temperature has risen above 110 degrees.
  • "You couldn't save them!" The player gave up the surgery.
  • "Someone seems to have smashed your surgical robot." The Surg-E was broken by punching before the player could finish performing surgery on it.
  • "You put the patient to sleep. Permanently!" Used Surgical Anesthetic while patient is unconcious.

Hospitals[]

Hospitals were introduced to the game as a part of Player Appreciation Week 2024 Day 1 on August 26, 2024. Upon placing a Reception Desk in any world, the world can function as a hospital.

General Information[]

Owner of the hospital world can view information about their hospital via the Reception Desk: The desk exhibits the level and ratings of the hospital while allowing the owner to:

  • View their Hospital Stats.
  • Level up their hospital.
  • Add other players as doctors in their hospital.

Reception Desks can be upgraded to higher levels, relevant information about this upgrading process can be found in the table below:

Levels
Requirements
Perks
Rewards
Level 1 to 2
  • Cure 20 Patients
  • Add 1 Doctor
  • Reach 1 Rating
  • Cure 5 Torn Punching Muscle Malady
  • Cure 5 Gem Cuts Malady

Cost: World Lock ×10

  • 32?format=png&fill=cb-20241201073810 Operating Table capacity +1
  • Surg-E Patient Duration: Between 4 hours, 5 minutes and 6 hours
Level 2 to 3

Cost: World Lock ×20

  • None
Level 3 to 4

Cost: World Lock ×20

  • 32?format=png&fill=cb-20241201073810 Operating Table capacity +1
  • Surg-E Patient Spawn Delay: Between 22 hours, 55 minutes and 1 day, 1 hour
  • Surg-E Patient Duration: Between 4 hours, 10 minutes and 6 hours, 10 minutes

All type of maladies that Auto Surgeon Station can cure now require 1 less Surgical Scalpel

Level 4 to 5

Cost: World Lock ×30

Level 5 to 6

Cost: World Lock ×30

  • Surg-E Patient Duration: Between 4 hours, 15 minutes and 6 hours, 10 minutes
Level 6 to 7

Cost: World Lock ×40

Level 7 to 8

Cost: World Lock ×40

  • 32?format=png&fill=cb-20241201073810 Auto Surgeon Station capacity +1
  • 32?format=png&fill=cb-20241201073810 Operating Table capacity +1
  • Doctor Capacity +1
  • Surg-E Patient Spawn Delay: Between 22 hours, 50 minutes and 1 day, 50 minutes
  • Surg-E Patient Duration: Between 4 hours, 20 minutes and 6 hours, 20 minutes

All type of maladies that Auto Surgeon Station can cure now require 1 less Surgical Stitches

  • None
Level 8 to 9

Cost: World Lock ×50

Level 9 to 10

Cost: World Lock ×50

  • 32?format=png&fill=cb-20241201073810 Auto Surgeon Station capacity +1
  • Surg-E Patient Duration: Between 4 hours, 25 minutes and 6 hours, 20 minutes
Level 10 to 11

Cost: World Lock ×50

  • None
Level 11 to 12

Cost: World Lock ×60

  • Surg-E Patient Spawn Delay: Between 22 hours, 45 minutes and 1 day, 50 minutes
  • Surg-E Patient Duration: Between 4 hours, 30 minutes and 6 hours, 30 minutes

Ecto-Bones Malady that Auto Surgeon Station can cure now require 1 less Surgical Splint

Level 12 to 13

Cost: World Lock ×60

Level 13 to 14

Cost: World Lock ×70

  • 32?format=png&fill=cb-20241201073810 Auto Surgeon Station capacity +1
  • Doctor capacity +1
  • Surg-E Patient Duration: between 4 hours, 35 minutes and 6 hours, 30 minutes
  • None
Level 14 to 15

Cost: World Lock ×70

  • None
Level 15 to 16

Cost: World Lock ×70

  • 32?format=png&fill=cb-20241201073810 Operating Table capacity +1
  • Surg-E Patient Spawn Delay: Between 22 hours, 40 minutes and 1 day, 40 minutes
  • Surg-E Patient Duration: Between 4 hours, 40 minutes and 6 hours, 40 minutes
Level 16 to 17

Cost: World Lock ×70

  • None
  • None
Level 17 to 18

Cost: World Lock ×80

  • 32?format=png&fill=cb-20241201073810 Operating Table capacity +1
  • Doctor capacity +1
  • Surg-E Patient Duration: Between 4 hours, 45 minutes and 6 hours, 40 minutes
Level 18 to 19

Cost: World Lock ×80

  • None
Level 19 to 20

Cost: World Lock ×80

  • Surg-E Patient Spawn Delay: Between 22 hours, 35 minutes and 1 day, 40 minutes
  • Surg-E Patient Duration: Between 4 hours, 50 minutes and 6 hours, 50 minutes
Level 20 to 21

Cost: World Lock ×80

Level 21 to 22

Cost: World Lock ×90

  • Doctor capacity +1
  • Surg-E Patient Duration: Between 4 hours, 55 minutes and 6 hours, 50 minutes
  • None
Level 22 to 23

Cost: World Lock ×90

Level 23 to 24

Cost: World Lock ×90

  • Surg-E Patient Spawn Delay: Between 22 hours, 30 minutes and 1 day, 30 minutes
  • Surg-E Patient Duration: Between 5 hours and 7 hours
  • None
Level 24 to 25

Cost: World Lock ×90

  • None
Level 25 to 26

Cost: World Lock ×100

  • Surg-E Patient Duration: Between 5 hours, 5 minutes and 7 hours
  • None
Level 26 to 27

Cost: World Lock ×100

  • None
Level 27 to 28

Cost: World Lock ×100

  • Surg-E Patient Spawn Delay: Between 22 hours, 25 minutes and 1 day, 30 minutes
  • Surg-E Patient Duration: Between 5 hours, 10 minutes and 7 hours, 10 minutes

None

Level 28 to 29

Cost: World Lock ×100

Level 29 to 30

Cost: World Lock ×100

  • Surg-E Patient Duration: Between 5 hours, 15 minutes and 7 hours, 10 minutes
  • None
Level 30 to 31

Cost: World Lock ×110

Level 31 to 32

Cost: World Lock ×110

  • Surg-E Patient Spawn Delay: Between 22 hours, 20 minutes and 1 day, 20 minutes
  • Surg-E Patient Duration: Between 5 hours, 20 minutes and 7 hours, 20 minutes
  • None
Level 32 to 33

Cost: World Lock ×110

  • Doctor capacity +1
Level 33 to 34

Cost: World Lock ×110

  • Surg-E Patient Duration: Between 5 hours, 25 minutes and 7 hours, 20 minutes
  • None
Level 34 to 35

Cost: World Lock ×110

  • None
Level 35 to 36

Cost: World Lock ×110

  • Surg-E Patient Spawn Delay: Between 22 hours, 15 minutes and 1 day, 20 minutes
  • Surg-E Patient Duration: Between 5 hours, 30 minutes and 7 hours, 30 minutes
  • None
Level 36 to 37

Cost: World Lock ×110

Level 37 to 38

Cost: World Lock ×120

  • Surg-E Patient Duration: Between 5 hours, 35 minutes and 7 hours, 30 minutes
  • None
Level 38 to 39

Cost: World Lock ×120

  • None
Level 39 to 40

Cost: World Lock ×120

  • 32?format=png&fill=cb-20241201073810 Operating Table capacity +1
  • Surg-E Patient Spawn Delay: Between 22 hours, 10 minutes and 1 day, 10 minutes
  • Surg-E Patient Duration: Between 5 hours, 40 minutes and 7 hours, 40 minutes
  • None
Level 40 to 41

Cost: World Lock ×120

  • Doctor capacity +1
  • None
Level 41 to 42

Cost: World Lock ×120

  • Doctor capacity +1
  • Surg-E Patient Duration: Between 5 hours, 45 minutes and 7 hours, 40 minutes
Level 42 to 43

Cost: World Lock ×120

  • None
  • None
Level 43 to 44

Cost: World Lock ×120

  • Surg-E Patient Spawn Delay: Between 22 hours, 5 minutes and 1 day, 10 minutes
  • Surg-E Patient Duration: Between 5 hours, 50 minutes and 7 hours, 50 minutes
  • None
Level 44 to 45

Cost: World Lock ×120

  • None
  • None
Level 45 to 46

Cost: World Lock ×120

  • None
Level 46 to 47

Cost: World Lock ×130

  • None
  • None
Level 47 to 48

Cost: World Lock ×130

  • Surg-E Patient Spawn Delay: Between 22 hours, and 1 day
  • Surg-E Patient Duration: Between 6 hours, and 8 hours
Level 48 to 49

Cost: World Lock ×130

  • Doctor capacity +1
  • None
Level 49 to 50

Cost: World Lock ×130

  • Surg-E Patient Duration: Between 6 hours, 5 minutes and 8 hours
  • None

Extra Info About Upgrading Process[]

The following formula is used to calculate the cured patients requirement for the hospital leveling system:

P = 30*L^2 - 30*L - 40

Given that:

  • L is the level of the Hospital.
  • P is the amount of cured patients required to reach level L.

Hospital Exclusive Items[]

Following items are only obtainable through performing specific actions in a Hospital World:

Item
Recipe
32?format=png&fill=cb-20241201073810 Operating Table 1 can be obtained from leveling up your hospital.
32?format=png&fill=cb-20241201073810 Auto Surgeon Station
32?format=png&fill=cb-20241201073810 Aura of Zen 1 has a chance to be obtained from performing a surgery on a:
•   32 Surg-Bot on an Operating Table.

Rewards[]

Upon completing the surgery successfully, the player will directly receive a prize. Some of the rewards are rarer than others. If a player receives a common prize, the player will also be rewarded with a Caduceus, which can later be traded in for items when calling the Sales-Man using a Telephone.

Among the possible prizes are:

There are also exclusive rewards obtainable from doing a surgery on a player standing on a Starship Sickbay Bed. The possible prizes are:

If the player has successfully performed surgery on the patient, the patient will receive 100 gems, and a random surgery tool or 1-7 Vaccine Drops.

There are also exclusive rewards obtainable from doing a surgery on a Surg-Bot Surg-Bot on an Operating Table. The possible prizes are:

Event-related Rewards[]

These rewards are only given by the player if they complete a surgery successfully during a particular time or event. These prizes are not guaranteed, as the player can also receive normal prizes.

Anniversary Week
UbiWeek
Valentine's Week
St. Patrick's Week
Grow4Good Week
Cinco De Mayo Week
Super Pineapple Party
Pegasus Pursuit
SummerFest
Garuda's Glory
Wonder Week
Halloween Week
WinterFest

Mods[]

  • Malpractice - If the player fails or gives up any surgery, the player is unable to perform surgery for the next hour. This mod can be removed instantly using Legal Briefs. It is reduced from 1 hour to 15 minutes during Surgery Day.
  • Recovering - If the player has had surgery performed on them (regardless of failure or success), the player cannot have surgery performed on them for the next four hours (one hour if cured of a malady). Reduced from 2 hours to 1 hour during Surgery Day.

Events[]

Daily Challenge[]

In the Doctors' Duel Daily Challenge (and its respective Guild Challenge), players compete to complete the most successful surgeries in two hours (50 points per surgery and -1 point per tool used).

Surgery Day[]

Surgery Day is a monthly event where both the Malpractice (15 minutes instead of 1 hour) and Recovering (1 hour instead of 4 hours) mods are shorter than usual. The prizes that can exclusively be obtained during Surgery Day are as follows:

Surgeon Role[]

The Role Up! update was released on September 17th 2018 as Part 2 of the September Update. The update included roles that can be accessed through the /roles command. Leveling up specific roles will grant the player items. Each day, there will be a specific role that will give extra points and a Growtoken upon completing the first quest.

The following are the quests that can be encountered:

  • Complete 2-5 Surgeries
  • Submit 2 Caduceus
  • Submit 20 Hospital Door
  • Submit 20 Hospital Window
  • Submit 20 Hospital Curtain
  • Submit 20 of a Surgical Tool.

Steady Hands is the Surgeon Role bonus that can level up as the player progresses their roles.

  • Level 2: 0.5% increase to success chance when using Surgery Tools.
  • Level 4: 1% increase to success chance when using Surgery Tools.
  • Level 6: 1.5% increase to success chance when using Surgery Tools.
  • Level 8: 2% increase to success chance when using Surgery Tools.
  • Level 10: 3% increase to success chance when using Surgery Tools.
  • Level 10: Unique Surgeon's Flag and skin.

The following items are earned as the player levels up their Surgeon Role:

Items Recipe
32?format=png&fill=cb-20241201073810 EMT Jumpsuit Reach Surgeon Level 1.
32?format=png&fill=cb-20241201073810 Bio-Waste Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 3.
32?format=png&fill=cb-20241201073810 Tiled Hospital Wall Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 4.
32?format=png&fill=cb-20241201073810 Toffee Block Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 5.
32?format=png&fill=cb-20241201073810 Electrical Power Cube Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 6.
32?format=png&fill=cb-20241201073810 Operating Theater Lamp Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 7.
32?format=png&fill=cb-20241201073810 Tiled Staircase Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 9.
32?format=png&fill=cb-20241201073810 Slip 'n' Slide Slime Floor Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 10.
32?format=png&fill=cb-20241201073810 Wheelchair Speedster Reach Surgeon Level 10.

During a Surgeon Day, the points from completing a Surgeon role quest is increased by 25%. Completing a quest for the first time on that day will reward a Growtoken.

Angel of Mercy's Wings and Dr. Title[]

During the Blocktor's Orders! update on 13 June 2019, the Angel of Mercy's Wings was added as a prize for successfully completing a vicious malady while equipping a Doctor's Blingin' Booties, Doctor's Blingin' Cap, Doctor's Blingin' Cross, Doctor's Blingin' Mask, Doctor's Blingin' Pants and Doctor's Blingin' Top, provided that they have completed 2,000 surgeries after the update was released (Train-E's do not count). In order to check the amount of surgeries left before obtaining the Angel of Mercy's Wings, one must equip the Doctor's Blingin' set while doing a vicious malady. Afterwards, a system message will appear on the amount of surgeries remaining. This does not consume the set.

To obtain the Dr. Title, the player needs to complete 3,000 surgeries while wearing the Angel of Mercy's Wings (progress is displayed in the description of the wings, for every surgery done, it counts as an Angelic Healing). This will add "Dr." before the player's name and change the color to red.

Achievements[]

Below are the list of Achievements that are related to Surgery.

Achievements Description
32?format=png&fill=cb-20240208021116 Surgeon (Classic) Earned for successfully performing surgery.
32?format=png&fill=cb-20240208021116 Chief Of Surgery (Classic) Earned for performing 20 successful surgeries.
32?format=png&fill=cb-20240208021116 Surgeon General (Classic) Earned for performing 100 successful surgeries.
32?format=png&fill=cb-20240208021116 The Doctor Earned for performing 1,000 successful surgeries.
32?format=png&fill=cb-20240208021116 Master Surgeon Earned for reaching level 10 on Surgeon Speciality.
32?format=png&fill=cb-20240208021116 Bones! Earned for successfully performing 10 surgeries on a Starship Sickbay Bed.
32?format=png&fill=cb-20240208021116 Vicious Victory Earned for successfully curing 50 patients of any Vicious malady.
32?format=png&fill=cb-20240208021116 Angel of Mercy Earned for joining the Angels of Mercy.

To earn this achievement, players must equip the Doctor's Blingin' Top, Doctor's Blingin' Pants, Doctor's Blingin' Mask, Doctor's Blingin' Cross, Doctor's Blingin' Cap and Doctor's Blingin' Booties and successfully perform 2000 surgeries.

32?format=png&fill=cb-20240208021116 Medical Marvel Earned for performing 3000 surgeries as the Angel of Mercy.

To earn this achievement, players must equip the Angel of Mercy's Wings and successfully perform 3000 surgeries.

Additional Tips[]

  • Before surgery, it is heavily advised that players have enough backpack space to collect their prize. Otherwise, they will fall on the ground, allowing other players to pick them up.
  • A surgery is possible without the use of Surgical Antiseptic. This is not recommended for players with a low skill level.
  • It is advised for players with a lower Surgeon Skill to perform easier surgeries. When the player has reached Surgeon Skill 100, they can attempt harder surgeries such as Massive Trauma.
  • Using the Fix It button immediately is not required. Players can close up incisions before using the button, reducing the chances of failing.
  • There are several items one can use that give various side benefits while performing surgery, as seen below:
Items Item Types Benefits
32?format=png&fill=cb-20241201073810 Healing Tome Clothing (chest) Reduces the cooldown of Malpractice and Recovery mods by 25%, but doesn't stack with other items with similar effects
32?format=png&fill=cb-20241201073810 Pet Chorizo Clothing (hand) Reduces the cooldown of Malpractice and Recovery mods by 25%, but doesn't stack with other items with similar effects.
32?format=png&fill=cb-20241201073810 Stethoscope Clothing (chest) Reduces the chance of skill fails by 50%
32?format=png&fill=cb-20241201073810 Exquisite Bone Saw Clothing (hand) Reduces the chance of skill fails by an unknown percentage
32?format=png&fill=cb-20241201073810 Nano Nurse Bot Clothing (hand) Reduces the chance of skill fails by an unknown percentage and grants the chance of not using up a surgical tool
32?format=png&fill=cb-20241201073810 Skill Spice Consumable Reduces the chance of skill fails by 50%
32?format=png&fill=cb-20241201073810 Tea Consumable Reduces the chance of skill fails by 50%, but doesn't stack with other items with a similar effect.

Trivia[]

  • Players can talk during surgery by clicking any of the blank tools and quickly pressing the chat button (or the Enter button).
  • Players can trade the Caduceus they earn from receiving common prizes from surgery to the Sales-Man for rarer items, such as the Thingamabob and Medical Scarf.
  • Successfully performing a Massive Trauma surgery for the first time completes an Epic Quest.
  • Players who get cured of any malady have a small chance to get a rare prize from the respective malady.

Gallery[]

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