Surgery

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All surgery requires a set of medical tools, typically found in the Operating Theatre, along with an operating table.

Surgical Tools

Information about most tools used in surgery can be found here.


Surgery Speed and Failure

For every tool there are ghetto analogues. The percentages listed next to them show how efficient they are speed wise compared to the basic tools (on TG the percentages used to simply mean to success rate until Oct 2019). For example, if it says "50%" the step takes double the time to complete. These percentages stack with the percentage point bonus or malus from using different tables or chemicals (see Beginning of any Operation).


However, the slowness is capped to 2x the original time the step would have taken. A step that takes 10 seconds would cap at 20 seconds, for example. Every second after that cap will instead add 1 percentage point into the odds of a failure. Failing may cause extra damage or other effects.

So for example:

  • Say a surgery step takes 10 seconds by default, but you use a pen (25%) instead of a hemostat and do it on the floor (50%) instead of a surgery table.
  • Now the surgery is slowed to 40 seconds, but since it's capped at 20 seconds it takes 20 seconds.
  • Those 20 extra seconds that were removed when we capped it to 20 seconds is now your chance to fail.
  • Result: The step takes 20 seconds and has a 20% chance to fail.

Beginning of any Operation

Step 1: Operating Table Place the patient onto the operating table. Do this by selecting grab Intent Grab.png intent. Then click the patient twice in a row until you have an aggressive grab. Then left click the operating table to place the patient on it. Switch back to help Intent Help.png intent or your surgery will fail.

  • If there is no operating table, you can use: Stasis bed (-10%), any table (-20%), any bed (-30%), ask them to lie on the floor (-50%). The speed of completing every step will be reduced.

Step 1.1 Ethanol (Optional) Splash on, spray or apply a patch with Miner's Salve (+10%), Sterilizine (+20%), alcoholic drinks (up to +46%), or Honey (+60%) to faster surgery speed.

  • The stronger the alcohol, the more effective! The formula is: 0.1*(booze power/65). For example: Ethanol gives +10% surgery speed, Manly Dorf +15%, Bacchus' Blessing +46%.

Step 1.2: Sleeping Agent (Optional) Use a tank of anesthetic and a breath mask to make your patient sleep. This has no surgical benefits however.

Step 2: Drapes Bedsheet Place drapes or bedsheet over the part of body you are operating.

Step 3: Help Intent Switch to help intent. Pro tip: Disarm intent will fail every surgery step.

Step 4: Target Aim at the appropriate body part (important!).

Step 5: Scalpel Do the surgery (see the steps below!). Afterwards congratulate the patient and kick them out. Failed steps will autorepeat.


To abort a surgery, hold a cautery in one hand and drapes in the other, and use the drapes on the patient.

Procedures requiring no research or computer

Organ Manipulation

This surgery covers operations to remove/insert organs (brain, heart, appendix), lizard/cat tails, cyber implants and alien embryos.
The body part to target depends on which procedure you want to do.
See below for details about each procedure.

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3 (Head/Chest only): Circular Saw Circular Saw: saw through bones. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4: Hemostat Hemostat: clamp the bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 6 Remove: Hemostat Hemostat: remove something. Crowbar (55%)
Step 6 Insert: Hands Hands: insert something.
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Ordinary organs that require Organ Manipulation

These organs are present in every normal human, and can be removed or transferred through the Organ Manipulation surgery type.

Brain BrainAlien brain

The source of consciousness, and where the player actually resides. Removing the brain from a body will make it unclonable through normal means. The brain can also be inserted into an MMI to allow it to speak, and to prepare it to be inserted into a Cyborg or an AI. Or it can be transferred into another body, which can then be cloned or defibrillated with the new host.

Changelings' brains are vestigial, and they can survive without them. Beheading a changeling will not prevent one from reviving.

Hud target head.gif Target: Head

Note: Brains can also be removed by beheading the target and using a sharp object on the head to extract the brain.

Note: There's also a non-surgery method to put a brain back in:

Step 1: Operating Table Place the patient onto the operating table.

Step 2: Brain Cram their brain back into their skull.

Step 3: Cloning Pod Usually, you take the body to be cloned.


Heart Heart.png

Required for basic survival, removing it will cause a heart attack, dealing huge amounts of oxygen damage until a new, beating, heart is inserted, or death. This can be delayed with epinephrine, if you need more time.

On their own, hearts only beat for a short time when removed from a living body. To get a heart beating again, click on it while it's in your hand.

Heart attacks can also be induced by Initropidril, and a heart attack may continue if you insert a still heart in a patient. In either case, to restore the heart to normal functionality, the patient needs to either be defibrillated or receive an electric shock.


Hud target chest.gif Target: Chest


Eyes Eyes.png

They're required for sight. Removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.

Hud target eyes.gif Target: Eyes


EarsEars.png

Required for hearing. Removing them will make the patient deaf.

Hud target head.gif Target: Head


Liver Liver organ.png

Required for processing reagents. Removing the liver will cause the patient to take heavy toxin damage.

Hud target chest.gif Target: Chest


Lungs Lungs.png

Required for breathing. Removing the lungs will cause the patient to suffocate, regardless of air or internals. Some species have mutant lungs that don't need air: transplanting them onto an breathing race will transfer this property.

Hud target chest.gif Target: Chest


Stomach Stomach organ.png

Required for digesting food.

Hud target chest.gif Target: Chest


Tongue Tongue.png Ltongue.png

Affects speech. Lacking a tongue will make speech very hard to comprehend, while mutant tongues such as lizards' or flypeoples' will give the patient the race's speech quirks. Abductors' tongues carry over their telepathy, but they prevent normal speech.

Hud target mouth.gif Target: Mouth


Appendix AppendixInflamed appendix

Removing it cures appendicitis and prevents it in the future, too.

Hud target crotch.gif Target: Groin

Other organs that require Organ Manipulation

There are also non-natural organs which can be added to give bonuses or to harm the patient in a few cases.

Cybernetic Implants Chest implant.pngBrain implant.pngEye implant.pngToolset arm implant.png

These offer benefits to the patient at the cost of being very vulnerable to EMPs, with malfunctions ranging from eye-flashing to heart attacks. Cybernetic implants always require the Organ Manipulation type surgery, even for arms. Cybernetic implants can be printed by Robotics or the medbay techfab after research.

Hud target chest.gifHud target head.gifHud target eyes.gif Target: Chest/Head/Eyes/Arms

Cybernetic Organs Cybernetic heart.gif Cybernetic liver.png Cybernetic lungs.png Robotic eyes.png

Cybernetic organs replace organs entirely. You need to remove the corresponding organ first to make room for the cybernetic organ. They are vulnerable to EMPs. Cybernetic organs can be printed by Robotics or the medbay techfab after research.

Hud target chest.gifHud target eyes.gif Target: Chest/Eyes

Xenomorph Embryo FacehuggerLarva

An alien larva growing inside the patient. If not removed quickly enough, it will gib the patient and try to escape, growing into a dangerous Xenomorph.

Hud target chest.gif Target: Chest


Romerol Tumor

A latent infection in the patient's head, caused by Romerol. If the patient dies while affected by Romerol, he will eventually rise as an aggressive Zombie. This will repeat as long as the infection lasts; removing it surgically, cutting the head off, or gibbing the corpse will prevent resurrection.

Romerol is infective, and anyone hit by a zombie while unprotected will also acquire a Romerol Tumor.

Hud target head.gif Target: Head


Prosthesis Organ Manipulation

Augmented limbs have special surgery steps for Organ Manipulation that are completed with mechanical tools. Unlike all other procedures, this can be performed on yourself with self-surgery.


Target Target: Head, chest, groin, arms

Procedure Ghetto Analogues
Step 1: Screwdriver Screwdriver: unscrew the shell. Scalpel (75%) Kitchen Knife (50%) Any other sharp item (30%)
Step 2: Hands Hands: open the hatch.
Step 3: Wrench Wrench (chest and head only): unwrench the bolts. Retractor (10%)
Step 4: Multitool Multitool: prepare electronics. Hemostat (10%)
Step 5: Hemostat Hemostat: manipulate organs/remove implant. Crowbar (65%)
Step 6: Wrench Wrench (chest and head only): wrench the bolts. Retractor (10%)
Step 7: Screwdriver Screwdriver: screw the shell. Scalpel (75%) Kitchen Knife (50%) Any other sharp item (30%)

Alien Organ Manipulation

Used to remove or add organs from Xenos.

Procedure Ghetto Analogues
Step 1: Circular Saw Circular Saw: saw through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 2: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 4: Circular Saw Circular Saw: saw through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 5 Remove: Hemostat Hemostat: remove something. Crowbar (55%)
Step 5 Insert: Hands Hands: Insert something.
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Lobectomy

This surgery is an extended organ manipulation, cutting open the chest cavity and removing a disfunctional lobe within the lungs. This restores health to the lungs, and makes them operable, if they weren't before. Be warned, however, that this surgery can only be done once per set of lungs. Can only be performed if the patient's lungs are above 60 damage, which is a tad past severe damage thresholds. Do NOT confuse this surgery with lobotomy!

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3 Circular Saw Circular Saw: saw through bones. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4: Hemostat Hemostat: clamp the bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Scalpel Scalpel: excise the damage lung node. (95%) Energy Sword (45%) Kitchen Knife (45%) Shard (25%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Coronary Bypass

This surgery is an extended organ manipulation, cutting open the chest cavity and grafting a bypass onto the patient's heart. This restores health to the heart, and makes it operable, if it was not before. Be warned, however, that this surgery can only be done once per heart, and that incising the heart and attaching the graft are not guaranteed successes. Keep bandages on hand in the event of failing the step, which will result in massive amounts of bleeding. Can only be performed if the heart has more than 60 damage (tad past severe damage threshold).

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3 Circular Saw Circular Saw: saw through bones. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4: Hemostat Hemostat: clamp the bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Scalpel Scalpel: incise the heart. (90%) Energy Sword (45%) Kitchen Knife (45%) Shard (25%)
Step 6 Hemostat Hemostat: attach heart graft. (90%) Wirecutters (35%) Package Wrap (15%) Cable (5%)
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Hepatectomy

Removes damaged parts of the liver so that the liver may regenerate properly. A liver healing surgery, similar to Coronary Bypass and Lobectomy. This liver surgery only shows up as an option when liver damage is above 50 and the liver itself is not failing.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3 Circular Saw Circular Saw: saw through bones. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4: Hemostat Hemostat: clamp the bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Scalpel Scalpel: incise. (90%) Energy Sword (45%) Kitchen Knife (45%) Shard (25%)
Step 5: Scalpel Scalpel: remove damaged liver section. (95%) Energy Sword (65%) Kitchen Knife (45%) Shard (35%)
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Failing the last scalpel step will deal damage to the liver.

Amputation

Sever a limb from the torso. Tails are handled under Organ Manipulation (groin).

Target Target: Head, legs, or arms

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 4: Circular Saw Circular Saw: cut through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 5: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 6: Scalpel Scalpel or Circular Saw Circular Saw: sever the limb. Chainsaw (80%) Fire Axe (50%) Hatchet (40%) Butcher's Knife (25%) Changeling's Arm Blade (80%)


Prosthetic Replacement

Replace a severed limb with either a normal or a robotic limb.

Target Target: Head, legs or arms

Procedure Ghetto Analogues
Step 0: Acquire the required limb.
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 4: Limb/Cyborg limb: replace the limb.
Step 4(Alternative): Chainsaw/Synthetic Arm Blade: replace the limb with the chosen weapon.


Augmentation

Replace a limb with a robot part. The head, torso, arms, and legs can all be augmented. Augmenting torso makes you immune to appendicitis and xeno larva.
Robot limbs are tougher. They need welding to "heal" brute damage and wires for burn damage, and cannot be otherwise healed. EMP pulses will hurt augmented humans.

Cyborg head
Cyborg torso
Cyborg arm

We can rebuild him. We have the technology.

Target Target: Head, chest, legs or arms

Procedure Ghetto Analogues
Step 0: Create the cyborg limb(s) using an Exosuit Fabricator.
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 4: Scalpel Scalpel: sever the muscles. Wirecutters (55%)
Step 5: Circular Saw Circular Saw: cut through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 7: Cyborg limb: augment the limb.


Cavity Implant

Implant/Remove an object in the chest. Tiny and small items can be implanted. Implanting a flashlight allows the patient to toggle it on or off. Implanting grenades is also often done. You can only have one cavity implant at a time.

Flashlight is commonly implanted

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 5: Hands Place an item in the cavity or use your hands to check for items in the cavity. Repeatable.
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Implant Removal

Extracts mindshield, tracking, chemical, traitor, explosive implants and such. If you don't have an empty implant case in your other hand, the implant will be ruined on extraction!

Removes this

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 4: Hemostat Hemostat and Empty Implant Case: extract the implant. Crowbar (65%)
Step 5: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Dental Implant

This allows you to insert pills/patches into a tooth cavity, allowing you to pop it any time to ingest it. This works for both stimulants and suicide pills.

Hud target mouth.gif Target: Mouth

Procedure Ghetto Analogues
Step 1: Surgical Drill Surgical Drill: Drill a hole in a tooth. Mining Drill (60%) Exosuit Drill (60%) Screwdriver (20%)
Step 2: Pill Pill/Patch: Insert a pill/patch.


Brain Surgery

This procedure cures all severe and basic traumas and reduces brain damage by a large amount. Failing step 5, however, causes hefty brain damage.

Hud target head.gif Target: Head

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Circular Saw Circular Saw: cut through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Hemostat Hemostat: perform brain surgery. (85%) Screwdriver (35%) Pen (15%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Eye Surgery

This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.

Hud target eyes.gif Target: Eyes

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%)Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Hemostat Hemostat: fix the patient's eyes. Screwdriver (45%) Pen (25%)
Step 5: Cautery Cautery: mend the incision. Laser (90%)Welder (70%) Lighter (45%) Match (20%)


Removal of Embedded Objects

Extracts objects stuck in the body such as throwing stars or spears.

Target Target: Head, chest, legs, or arms

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Remove: Hands Hands: Remove object.

Plastic Surgery

If the patient's face is damaged and unrecognizable it restores it, otherwise it change the face and identity of the patient.

Hud target head.gif Target: Head

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Scalpel Scalpel: alter the patient's appearance. Kitchen Knife (50%) Wirecutters (35%)
Step 4: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Lipoplasty

Removes excess fat from the patient. Can only be selected if the patient is fat.

Hud-hunger.gif
You get this

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 3: Circular Saw Circular Saw: cut up the fat. Hatchet (35%) Butcher's Knife (25%)
Step 4: Retractor Retractor: remove the fat. Screwdriver (45%) Wirecutters (35%)
Step 5: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Slime Core Removal

Remove core from slime. Step 2 must be repeated for every core if slime has several. Mostly obsolete with existence of slime grinder, but still possible.

A slime
Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Hemostat: extract core. Wirecutters (60%) Package Wrap (35%) Cable (15%)


Upgradable Surgery

These surgeries are available roundstart, but can be upgraded to better or different versions by researching certain nodes and then synching a connected operating computer.

Tend Wounds

The tend wounds surgeries all share the same steps. They can be upgraded by researching certain nodes, and then synching the operating computer with research database. There are "bruises", "burn" and "Mixture" versions. By default only "bruises" and "burn" are available. The basic versions of this surgery can be performed anywhere, but the upgraded versions require an operating table (or Stasis bed) with an adjacent and synched operating computer.

The target is healed by this surgery, without any chemicals being involved. Useful for healing dead bodies for revival. This works on patients with clothes on, but it's only 55% as effective.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make a careful incision (does not cause damage or bleeding). Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Tend bruises: repair damage to the target (automatically repeats until fully healed). Screwdriver (65%) Pen (55%)
Step 3: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)
  • Step 2 will heal at least 5 damage each time it's repeated, with an added bonus the more damaged the patient is. This the bonus healing becomes higher with higher tiers of research, ranging from (patient's damage / 75) to (patient's damage / 12.5). The bonus is much lower on dead patients.
  • Without any research the heal is 5 damage plus a bonus from damage. ("bruises" and "burn" versions only).
  • With Improved Wound-Tending Surgery researched and synched, it will heal 5 damage plus a higher bonus from damage ("bruises" and "burn" versions only).
  • With Advanced Surgery researched and synched, it will heal 5 damage plus an even higher bonus from damage ("bruises" and "burn" versions only).
  • With Advanced Surgery researched and synched, you'll be able to do the "mixture" version (tend physical wounds), which heals 3 brute and burn plus a bonus from damage, but the step takes much shorter time than the other two versions.
  • With Experimental Surgery researched and synched, "tend physical wounds" will heal 3 brute and burn plus a better bonus from damage.
  • With Alien Surgery researched and synched, "tend physical wounds" will heal 1 brute and burn plus a very high bonus from damage.
  • Failing the hemostat step Hemostat will deal some of the damage it would have healed.


If research was completed in the middle of surgery, you must restart the surgery to get the upgraded version.

Dissection

The dissection surgeries all share the same steps. They require an operating table (or Stasis bed) with an adjacent operating computer. They can be upgraded by researching certain nodes, and then synching the operating computer with research database. The procedure will deeply analyze the biology of a corpse (both humanoid and simple), and automatically add new findings to the research database. This generates research points for science. Does not work on living patients. Unlike other surgeries, even cyborgs can fail step 5.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Scalpel Scalpel: perform dissection (can fail, repeatable). Alien Scalpel (100%) Cyborg Scalpel (75%) Laser Scalpel (60%) Scalpel (45%) Kitchen Knife (20%) Shard (10%)
Step 5: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Corpse Values

This is how many research points a successful dissection will generate without upgrades.

Corpse Base Points
Monkey 250
Any simple mob 300
Human 500
Jellyperson 1000
Podperson 1000
Golem 1500
Zombie 1500
Abductor 2000
Xeno Adult 2500
Xeno Queen 5000

Dissection Upgrades

This is how much the above base points are multiplied by researching upgrades.

Research Node Surgery Name Point Multiplier
None Dissection 1
Advanced Surgery Thorough Dissection 2
Experimental Surgery Experimental Dissection 5
Alien Surgery Extraterrestrial Dissection 10
  • If you fail step 5 you only get 1% of the points, but you can try again on the same corpse.
  • If you dissect a corpse and later do an upgraded dissection on the same corpse, you will only get the point difference between the two versions.
  • If no upgrades were made between dissections, you can't dissect the same corpse again for extra points.

Advanced Surgery

These surgeries require the Advanced Surgery research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Advanced surgeries can only be performed on an operating table (or Stasis bed) with a connected operating computer.

Revival

The target is resurrected by this surgery. Unlike normal defibrillation, it works on any non-husked corpse, regardless of how much damage the body has sustained or how long the target has been dead.
If the body has sustained too much damage, it'll die immediately after the revival. You can circumvent this by applying synthflesh or performing Tend Wounds beforehand. Requires the "Advanced Surgery" technology.

Hud target head.gif Target: Head

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Circular Saw Circular Saw: cut through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4:Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 6: Defibrillator Paddles Revive: revive the target (repeatable). Stun Baton (75%) Taser Shot (60%)
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Lobotomy

Used to cure deep-rooted brain traumas. This can cause a random, permanent trauma, or if lucky, a random special trauma which gives you rare powers. Requires the "Advanced Surgery" technology.

Hud target head.gif Target: Head

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Circular Saw Circular Saw: cut through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4:Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Scalpel Lobotomize (85%): perform the lobotomy procedure. Kitchen Knife (35%) Shard (25%) Energy Sword (55%) Any other sharp item (20%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Experimental Surgery

These surgeries require the Experimental Surgery research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Experimental surgeries can only be performed on an operating table (or Stasis bed) with a connected operating computer.


Pacification

The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.
Requires the "Experimental Surgery" technology.

Hud target head.gif Target: Head

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Circular Saw Circular Saw: cut through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4:Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Hemostat Pacify: rewire the target's brain. Screwdriver (35%) Pen (15%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Vein Threading

The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 6: Hands Hands: thread the veins
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Muscled Veins

Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 6: Hands Hands: shape vein muscles
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Nerve Splicing

Nerves are connected to each other multiple times, greatly reducing stun times. This caps stun times to 4 seconds. Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 6: Hands Hands: splice nerves
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Nerve Grounding

Nerves form a safe path for electricity to traverse, making the user nigh immune to all electric shocks. Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 6: Hands Hands: ground nerves
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Ligament Hook

Reshapes the connections between torso and limbs, making it so limbs can manually be attached if severed. However this weakens the connection, making limbs easier to detach as well. Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 6: Hands Hands: reshape ligaments
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Ligament Reinforcement

Adds a protective tissue and bone cage around the connections between the torso and limbs, preventing dismemberment. However, the nerve connections as a result are more easily interrupted, making it easier to disable limbs with damage. Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 6: Hands Hands: reinforce ligaments
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Viral Bonding

The target is forced into a symbiotic relationship with a virus. It makes the virus stay at stage 1 where it's usually harmless, but still infective to others .
Note: The target must already be infected before you can initiate this surgery with the drapes. The target must be dosed with at least 5 units of Virus Food, Formaldehyde, and Spaceacillin for the "Viral Bond" step to work. This surgery will not hide the virus icon from medical huds.
Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3:Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 5: Cautery Viral Bond: force a symbiotic relationship. Welder (50%) Lighter (35%) Match (30%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Alien Surgery

These surgeries require the Alien Surgery research node, which requires the Alien Technology node, which can only be revealed from deconstructing certain abductor items. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Alien surgeries can only be performed on an operating table (or Stasis bed) with a connected operating computer.


Brainwashing

The target of this surgery, when successful, is bound to a primary goal you assign to him/her. He/she must follow these objectives, regardless of allegiance. This can be cured through brain surgery or with a mindshield implant. Requires either the brainwashing disk, acquired through the Syndicate Uplink, or researching the "Alien Surgery" technology.

Hud target head.gif Target: Head

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Circular Saw Circular Saw: cut through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4:Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Hemostat (85%) Brainwash: perform the brainwashing procedure. Failing will grant brain damage. Wirecutters (50%) Package Wrapper (35%) Cable Coil (15%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Necrotic Revival

Revives a corpse into an infectious zombie which will probably munch your face off. Useful for forcing a shuttle call. Note: The target must be dosed with at least 5 units of Zombie Powder or Rezadone for the "Bionecrosize" step to work. Requires the "Alien Surgery" technology.

Hud target head.gif Target: Head

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Circular Saw Circular Saw: cut through the bone. Chainsaw (arm-mounted) (65%) Fire Axe (50%) Chainsaw (unmounted) (50%) Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%)
Step 4:Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Hemostat Bionecrosize: perform the revival procedure. Screwdriver (35%) Pen (15%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)