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This is a guide to perform surgery. It is advised to have more than ten of each tool to begin surgery, especially when coming across difficult surgeries such as Massive Trauma or Deep Brain Tumor.

A player can perform surgery on another player if the latter is standing on a Hospital Bed or Starship Sickbay Bed, and is not currently recovering. 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.

Tools

These are all the tools required to do surgery. Not each tool is required to complete surgery but it is advised that players carry each tool in case they are required during surgery.

Tool Use
ItemSprites.png Surgical Sponge Used when the surgery screen says "You can't see what you are doing!" In this case, the player is forced to use the Surgical Sponge. Can also be used when it says "It's becoming hard to see."
ItemSprites.png Surgical Splint Used to fix fractures. If the patient has a broken bone, use this to remove it.
ItemSprites.png Surgical Antiseptic Used to clean the operation site. If the operation site is unsanitary, this can be used to make it clean.
ItemSprites.png Surgical Antibiotics Used when the patient has a fever. If the surgery screen says "Patient's fever is climbing," this can be used to lower the temperature.
ItemSprites.png Surgical Anesthetic Used to put a patient to sleep, turning its Awake status to Unconscious. Used before Surgical Scalpel, if not, the player will fail the surgery.
ItemSprites.png Surgical Scalpel Used to cut open the patient. This tool is usually used until the "Fix it" button has appeared. It is also to be used before fixing a shattered bone.
ItemSprites.png Surgical Stitches Used to stop the patient from bleeding or 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.
ItemSprites.png Surgical Lab Kit Used to unlock Surgical Antibiotics. Surgical Antibiotics cannot be used before using this tool.
ItemSprites.png Surgical Clamp Used to clamp up blood vessels. If the patient is losing blood before the "Fix it" button can be used, this tool can be used to stop the patient from losing blood. It can only be used if the patient has at least one incision.
ItemSprites.png 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.
ItemSprites.png Surgical Transfusion Used to transfuse several pints of blood into a patient. When the pulse of a player is weak or extremely weak, this will turn the pulse back to steady or strong.
ItemSprites.png Surgical Ultrasound Used to diagnose a patient. The player will not know what condition the patient has if this is not used. It will reveal physical issues of the patient and other tools needed for the surgery.
ItemSprites.png Surgical Defibrillator Used to shock a patient back to life. If the patient's heart has stopped, this must be given to the patient otherwise surgery cannot continue.
ItemSprites.png Empty Surgery Tray Unobtainable by players, used as an icon for when the player is missing a tool.

Item Pack

The Surgical Kit, which contains 5 of all the needed tools, is available in the Store for 12,000 gems.

Skill Fail/Surgeon Skill

Skill Fail is a randomly-generating mechanism designed to make surgery harder. During surgery, the surgeon may fail to use a tool properly. In the event of a skill fail, the player is required to do that step again before continuing. 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 is part of the learning process to becoming better at surgery. Players with a Surgeon Skill of 100 can still face skill fails, however, the chances are extremely low.

The following messages will appear if the player has received a skill fail for a particular tool used:

Types of Problems

Before conducting any surgery on a patient, all problems before the surgery has begun must be addressed.

  • If the patient is rapidly losing blood, Surgical Stitches must be given to the patient.
  • If the patient has any broken bones, Surgical Splint must be given to the patient.
  • If the patient's heart has stopped, Surgical Defibrillator must be given to the patient. If any surgical skill fail has occurred, the step must be repeated.

Once all this has been done, the Surgical Ultrasound can be used to find the problem. All steps shown below are to be done AFTER the Surgical Ultrasound displays the problem. If during any of these steps, the patient's heart stops, starts bleeding or any other problem occurs, address these problems using the appropriate tools FIRST before continuing. If the patient wakes up during surgery, use Surgical Anesthetic to put them back to sleep. If any surgical skill fail has occurred, the step must be repeated (except for Surgical Scalpels).

Problem Steps to fix
Broken Arm Use Surgical Splint to fix the broken bones.
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.
Bird Flu/Turtle Flu/Monkey Flu Use Surgical Lab Kit to unlock Surgical Antibiotics and use until the patient's temperature is no longer rising.
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.
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.
Heart Attack 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.
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.
Liver Infection 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.
Kidney Failure 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.
Appendicitis 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.
Swallowed a World Lock 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.
Herniated Disc/Damaged spine 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.
Broken Everything/Run over by a truck 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. 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.
Serious Head Injury 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.
Serious Trauma with a punctured lung Use Surgical Splint to fix all the broken bones. 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. Use Surgical Splint until the patient no longer has any broken bones.
Massive Trauma Use Surgical Splint to fix all the broken bones. 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 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. Use Surgical Splint until the patient no longer has any broken bones.

Other Conditions

During surgery, some patients may have special conditions on top of their problems. This makes the patient harder to perform surgery on and a higher chance of failing. They include:

  • "The patient exhibits very tough skin. Possibly a superhero." - requires an extra use of a Surgical Scalpel before the Fix it button appears.
  • "The patient has an antibiotic-resistant infection." - Surgical Antibiotics reduce the temperature of the patient less.
  • "The patient is absolutely filthy." - requires extra use of Surgical Sponges during surgery to clean up the patient.
  • "The patient is hyperactive." - patient wakes up a little earlier after being giving Surgical Anesthetic.
  • "The patient is a hemophiliac." - the patient will bleed faster than normal.

Rewards

Upon completing surgery, the player will directly receive a prize. Some of the rewards are much rarer than the rest. 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:

If the player has successfully performed surgery on the patient, the patient will receive 100 gems.

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

Mods

  • Malpractice - If the player fails or gives up any surgery, the player is unable to do surgery for the next hour (can be removed instantly using Legal Briefs).
  • Recovering - If the player has had surgery (failed or not), the player cannot have surgery performed on them for the next four hours.

Events

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

There is also a Surgery Day where both the Malpractice and Recovering mods are shorter than usual. Special prizes such as the Plague Doctor Mask can also be obtained during this day.

During a Surgeon Day, the points one earns after completing a Surgeon role quest is increased by 25%. Doing so for the first time of the day will reward a Growtoken.

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 to be done without the use of Surgical Antiseptic. This is not recommended, however, for players with a low skill level.
  • It is advised for any player new to surgery to do the easier surgeries. When the player has reached Surgeon Skill 100, they can attempt harder surgeries such as Massive Trauma.
  • Players can use Tea, a consumable which reduces the chance of skill fail for 2 minutes.
  • Using the Fix It button is not necessary straight away as it appears. It can be used after all the incisions have been closed to reduce the chance of failing.

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 in the Caduceus they earn from receiving common prizes from surgery to the Sales-Man for rarer items, such as the Thingamabob and Medical Scarf. They may also receive either a Sales-Man Standee or the Sales Shades after purchasing.
  • Successfully performing a Massive Trauma surgery for the first time completes an Epic Quest.
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