Surgery

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All surgery requires the set of medical tools in the Operating Theatre, along with a table (a surgical table gives no negative results). For the most part, only medical doctors and the Chief Medical Officer can perform advanced surgery.

Surgical Tools

Information about every tool used in surgery can be found here.

For every tools there are ghetto analogues. Using them lowers chances of performing a surgical step correctly, wounding your patient. Hover your cursor over the item's picture to see its name. Next to the items are the success rates.


Beginning of any Operation

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

  • If there is no table, you can use: any table (80%), any bed (70%), ask them to lie on the floor (50%). Chances of successfully completing every step will be reduced.

Step 1.5: Sleeping Agent (Optional) Use a tank of anesthetic and a breath mask to make your patient sleep. Use sterilizine if you want to improve your success chance.

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

Step 3: Help Intent Switch to help intent.

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.


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

Basic Organs

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


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 heart is inserted, or death. This can be delayed with epinephrine, if you need more time.

Heart attacks can also be induced by Initropidril. In that 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


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


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

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

Cybernetic implants made in Research and Development or Robotics. They coexist with other organs, and offer benefits to the patient at the cost of being very vulnerable to EMPs, with malfunctions ranging from eye-flashing to heart attacks.

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


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


Surgical Procedures

Organ Manipulation

This surgery covers operations to remove/insert organs(brain, heart, appendix), cyber implants and alien embryos. The body part 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%)


(Alien Organ Manipulation variant for 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%)


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.

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 / Use your hands to check for items in the cavity.
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 the step 4 will cause 100 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%)


Dental Implant

This allows you to insert pills/patches into a tooth cavity, allowing you to pop it any time to ingest it.


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.


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: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 4: Remove: Hands Hands: Remove object.


Implant Removal

Extracts loyalty, tracking, chemical, traitor, explosive implants and such. They won't be reusable.

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: extract the implant. Crowbar (65%)
Step 5: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Limb 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.


Amputation

Sever a limb from the torso.

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.

Lipoplasty

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%)


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%)


Slime Core Removal

Remove core from slime. Step 3 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: Scalpel Scalpel: make an incision again. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 3: Circular Saw Circular Saw: extract the core. Crowbar (100%)


Tail Removal

The lizard cannot wag if you disable its tail.

Hud target crotch.gif Target: Groin

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel or Circular Saw Circular Saw: sever the tail. Chainsaw (80%) Fire Axe (50%) Hatchet (40%) Butcher's Knife (25%) Changeling's Arm Blade (80%)
Step 2: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Tail Attachment

WHAT HAS SCIENCE DONE?

Hud target crotch.gif Target: Groin

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: sever the muscles. Wirecutters (55%)
Step 5: Tail: Attach the tail.