Guide:Surgery

This is a guide to performing 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. The Surgical Kit is also available in store for 12,000 gems. There is also a Daily Challenge where 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 malpractice and recovering are shorter as well as bonus prizes only obtainable during Surgery Day.

Players can perform surgery on other players if they are standing on a Hospital Bed or Starship Sickbay Bed, and are not currently recovering. By using the Wrench and clicking "Perform Surgery," they are able to perform surgery on other players. A Surg-E is also available where players can perform surgery without the need of another player.

Skill Fail/Surgeon Skill

Skill Fail is designed to make surgery harder. During surgery, the player 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:

Surgical Lab Kit - "You contaminated the sample."
Surgical Antibiotics - "This is the wrong medication! The bacteria like it."
Surgical Transfusion - "You spilled all of it! Kind of gross."
Surgical Antiseptic - "You spilled antiseptic on your shoes. They are very clean now."
Surgical Sponge - "You somehow managed to eat the sponge."
Surgical Stitches - "You somehow tied yourself up in stitches!"
Surgical Anesthetic - "You end up inhaling all the anesthetic yourself. You feel woozy."
Surgical Ultrasound - "You scanned the nurse with your ultrasound!"
Surgical Defibrillator - "You electrocuted yourself!"
Surgical Splint - "You ate a splint, good job!" or "You cut the patient." (this results in the patient starting to bleed a little)
Surgical Pins - "You jabbed the pin through the artery!"
Surgical Clamp - "The clamp fell out of your hand, oh well."
Surgical Scalpel - "This will leave a nasty scar, but you managed to cut the right place." (this results in the patient starting to bleed)
Fix it - "You screwed it up! Try again."

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
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."
Surgical Splint	Used to fix fractures. If the patient has a broken bone, use this to remove it.
Surgical Antiseptic	Used to clean the operation site. If the operation site is unsanitary, this can be used to make it clean.
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.
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.
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.
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.
Surgical Lab Kit	Used to unlock Surgical Antibiotics. Surgical Antibiotics cannot be used before using this tool.
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. Can only be used if the patient has at least one incision.
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.
Surgical Transfusion	Used to transfuse a 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.
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.
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.
Empty Surgery Tray	Unobtainable by players, is used as an icon for when the player is missing a tool.

Types of problems

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

If the patient's temperature is rising, Surgical Lab Kit must be used to unlock the Surgical Antibiotics which is then given to the patient.

If the patient is rapidly losing blood, Surgical Stitches must be given to the patient.

If the patient has a weak pulse, Surgical Transfusion 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 again.

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 again (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 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 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 problem. 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 receive a prize upon completing surgery. Majority of the time, the player will receive a common prizes but there are some extremely rare prizes to be won. 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. The possible prizes are:

Any Surgical Tool x5
Scrub Mask
Scrub Top
Scrub Pants
Scrub Cap
Candy Striper Cap
Candy Striper Skirt
Candy Striper Uniform
Hospital Wall x10
Hospital Curtain x5
Hospital Window x5
Hospital Door x5
Hospital Bed
Holographic Sign
Antidote
Homeopathic Medicine
g-Virus
Steel Spike
Autoclave
DNA Processor
Wolf Whistle
Cybernetic Eye
Techno Visor
Skateboard
Rayman's Hair (while wearing a Pirate Hat)
Winter Flu Vaccine (only obtainable during WinterFest)
Tree Decorations (only obtainable during WinterFest)
Pineapple Engine Part (only obtainable during Super Pineapple Party)
Medical Scarf
Edison Zoomster
Magnifying Glass
Thingamabob

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

Starship Sickbay Bed Rewards

There are also Startopia rewards. Players can receive Startopia items when doing surgery in 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 also be removed with 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.
broken heart - it is a malady that can be obtained by doing many surgeries.

Additional Info

Before surgery it is heavily advised that players have plenty of each tool and that they have backpack space to collect their prize.
Surgery is possible without the use of Surgical Antiseptic, however, it is recommended for players with a low skill level.
Players can talk during surgery by clicking any of the blank tools and quickly pressing the chat button (or the Enter button).
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 Run over by truck or Massive trauma.
Players can trade in Caduceus to the Sales-Man for items such as Thingamabob, Medical Scarf and the Growtoken. They will also receive either a Sales-Man Standee or the Sales Shades.
Players can use Tea, a consumable which reduces the chance of skill fail for one minute.
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.
The Surgical Tool Bag is a provider for surgical tools.
Successfully Performing A Massive Trauma Surgery completes an Epic Quest.