Difference between revisions of "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 doctor]]s and the [[Chief Medical Officer]] can perform advanced surgery.
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All surgery requires a set of medical tools, typically found in the [[Operating Theatre]], along with an operating table.  
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===Surgical Tools===
 
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Surgical tools can be found in surgery and robotics. Additionally, cargo can make them with their autolathe. It is best to keep surgical tools in their proper places so your fellow crewmembers can use them when they need them.
 
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'''The following are the standard surgical tools most doctors will need:'''
 
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*[[File:MMI.png]]'''MMI''' (For Robotics)
 
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*[[File:Drill.png]]'''Surgical drill'''
 
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*[[File:Scalpel.png]]'''Scalpel'''
 
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*[[File:Saw.png]]'''Circular saw'''
 
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*[[File:Hemostat.png]]'''Hemostat'''
 
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*[[File:Cautery.png]]'''Cautery'''
 
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*[[File:Retractor.png]]'''Retractor'''
 
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*[[File:Drapes.png]]'''Drapes'''
 
  
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== How to set internals ==
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= Surgical Tools =
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To set internals and make your patient sleep you need to first remove any item from their back. Once done you need to put a breath mask on them and then put the anesthetic tank onto their back. Once it is on their back you can put them on internals by clicking "set internals" on the same menu you used to put the tank on their back. Once done your patient should fall asleep.  Remember to use a proper anesthetic mixture, as pure N2O will suffocate the patient.
+
[[Medical_items#Surgical_Tools|Information about most tools used in surgery can be found here.]]
  
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== Eye Surgery ==
 
  
−
'''Fixing Blindness'''
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==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 ''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|Beginning of any Operation]]).<br>
 +
 
 +
 
 +
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.<br>
 +
 
 +
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: Undress the part of the patient that needs surgery. You can do this by dragging them onto yourself, and then clicking the clothes you want to remove from them in the pop-up.
 +
* '''Important:''' The uniform the patient is wearing usually covers both legs, arms, groin and torso. Helmets, eyewear and masks always obscure the eyes, make sure to remove them if working on the eyes.
 +
 
 +
Step 2: [[File:OpTable.gif|Operating Table]] Place the patient onto the '''operating table'''. Do this doing a {{Grab}} on the patient. Then left click the operating table to place the patient on it. You can also {{Rightclick}} shove a person onto the table and tell them to rest, though they might not appreciate this.
 +
* If there is no operating table, you can use: '''[[Machines#Lifeform_Stasis_Unit|Stasis bed]]''' (-10%), '''any table''' (-20%), '''any bed''' (-30%), ask them to lie '''on the floor''' (-50%). The [[#Surgery Speed and Failure|speed]] of completing every step will be reduced.
 +
 
 +
Step 2.1 [[File:LongIslandIcedTea.png|Ethanol]] (Optional) Splash on, spray or apply a patch with [[Guide_to_chemistry#Miner's Salve|'''Miner's Salve''']] (+10%), [[Guide_to_chemistry#Sterilizine|'''Sterilizine''']] (+20%), [[Guide_to_food_and_drinks#Drinks|'''alcoholic drinks''']] (up to +46%), or [[Beekeeping#The_fruits_of_our_labour|'''Honey''']] (+60%) for 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 2.2: [[File:N2Otank.png|Sleeping Agent]] (Optional) Use a '''tank of anesthetic''' and a '''breath mask''' to make your patient sleep. This way patient won't experience agonizing pain, decreasing its [[mood]].
 +
 
 +
Step 3: [[File:Drapes.png|Drapes]] [[File:Bedsheet.png|Bedsheet]] Place '''drapes''' or '''bedsheet''' over the part of body you are operating.
 +
* If you done step 1 wrong, it will tell you that you must remove clothing first. If you continue without fixing, you will stab your patient instead of doing surgery.
 +
 
 +
Step 4: Turn off {{Combat_Mode}}. Pro tip: {{Rightclick}} will make you fail every surgery step on purpose.
 +
 
 +
Step 5: [[File:Hud-target.gif|Target]] '''Aim''' at the appropriate body part (important!).
 +
 
 +
Step 6: {{LeftclickCmodeoff}} [[File:Scalpel.png|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), cyber implants and alien embryos.<br>The body part to target depends on which procedure you want to do.<br>See below for details about each procedure.
 +
 
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3 (Head/Chest only): [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6 '''Remove''': [[File:Hemostat.png|Hemostat]] '''Hemostat''': remove something.||[[File:Crowbar.png|Crowbar]] (55%) [[File:Fork.png|Fork]] (35%)
 +
|-
 +
|Step 6 '''Insert''': [[File:Hud-hands.gif|Hands]] '''Hands''': insert something.
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|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|Organ Manipulation]] surgery type.
 +
 
 +
==== Brain [[File:Brain.png|Brain]][[File:Alien_brain.png|Alien brain]] ====
 +
 
 +
The source of consciousness, and where the player actually resides. Removing the brain from a body will make it [[Guide_to_medicine#Revival_methods|unrevivable]] 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 [[Guide_to_medicine#Revival_methods|revived]].
 +
 
 +
[[Changeling]]s' brains are vestigial, and they can survive without them. Beheading a changeling will not prevent one from reviving.
 +
 
 +
[[File: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.
 +
 
 +
 
 +
 
 +
==== Heart [[File: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. This will not keep someone conscious, but will make them suffocate slower.
 +
 
 +
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.
 +
 
 +
 
 +
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
 
 +
 
 +
==== Eyes [[File:Eyes.png]] ====
 +
 
 +
They're required for sight. Removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.
 +
 
 +
[[File:Hud_target_eyes.gif]] '''Target: Eyes'''
 +
 
 +
 
 +
==== Ears[[File:Ears.png]] ====
 +
 
 +
Required for hearing. Removing them will make the patient deaf.
 +
 
 +
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
 
 +
 
 +
==== Liver [[File:Liver_organ.png]] ====
 +
 
 +
Required for processing [[Guide_to_chemistry|reagents]]. Removing the liver will cause the patient to take heavy toxin damage. Some starting jobs give you a liver with special benefits.
 +
 
 +
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
 
 +
==== Lungs [[File:Lungs.png]] ====
 +
 
 +
Required for breathing. Removing the lungs will cause the patient to suffocate, regardless of air or internals. Some [[Guide_to_races|species]] have mutant lungs that don't need air: transplanting them onto an breathing race will transfer this property.
 +
 
 +
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
 
 +
 
 +
==== Stomach [[File:Stomach_organ.png]] ====
 +
 
 +
Required for eating and drinking.
 +
 
 +
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
 
 +
==== Tongue [[File:Tongue.png]] [[File: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. [[Abductor]]s' tongues carry over their telepathy, but they prevent normal speech.
 +
 
 +
[[File:Hud_target_mouth.gif]] '''Target: Mouth'''
 +
 
 +
 
 +
==== Appendix [[File:Appendix.png|Appendix]][[File:Appendix_inflamed.png|Inflamed appendix]] ====
 +
 
 +
Removing it cures appendicitis and prevents it in the future too, it is not required for survival so don't go worrying about that.
 +
 
 +
[[File: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 [[File:Chest_implant.png]][[File:Brain_implant.png]][[File:Eye_implant.png]][[File:Toolset_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|Organ Manipulation]] type surgery, even for arms. Cybernetic implants can be printed by [[Robotics]] or the [[medbay]] techfab after research.
 +
 
 +
[[File:Hud_target_chest.gif]][[File:Hud_target_head.gif]][[File:Hud_target_eyes.gif]] '''Target: Chest/Head/Eyes/Arms'''
 +
 
 +
==== Cybernetic Organs [[File:Cybernetic_heart.gif]] [[File:Cybernetic_liver.png]] [[File:Cybernetic_lungs.png]] [[File: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, do not decay, and do not heal over time. Cybernetic organs can be printed by [[Robotics]] or the [[medbay]] techfab after research.
 +
 
 +
[[File:Hud_target_chest.gif]][[File:Hud_target_eyes.gif]] '''Target: Chest/Eyes'''
 +
 
 +
==== Xenomorph Embryo [[File:Facehugger.png|Facehugger]][[File:Larva.png|Larva]] ====
 +
 
 +
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]].
 +
 
 +
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
 
 +
 
 +
==== Romerol Tumor ====
 +
 
 +
A latent infection in the patient's head, caused by [[Syndicate Items#Romerol|Romerol]]. If the patient dies while affected by Romerol, he will eventually rise as an aggressive [[Guide to races#Romerol Zombie|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.
 +
 
 +
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
== Feature Manipulation==
 +
This surgery covers operations to remove/insert external organs. External organs include lizard horns, frills, tails, snouts, moth antennae and wings, podperson hair and more. If you want to haunt someones dreams, this is the surgery for you.
 +
 
 +
Functions and mechanics associated with an external organ will be transferred aswell. Give your patient moth wings and they will be able to fly like a moth.
 +
 
 +
The body part to target depends on which external organs you want to add/remove. Tails are in the groin, while spines and wings are in the chest.
 +
 
 +
[[File:Hud-target.gif|Target|link=https://tgstation13.org/wiki/File:Hud-target.gif]] '''Target: Head, chest, groin, arms'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel|link=https://tgstation13.org/wiki/File:Scalpel.png]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife|link=https://tgstation13.org/wiki/File:Knife.png]] (65%) [[File:Shard.png|Shard|link=https://tgstation13.org/wiki/File:Shard.png]] (45%) [[File:Sword.gif|Energy Sword|link=https://tgstation13.org/wiki/File:Sword.gif]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor|link=https://tgstation13.org/wiki/File:Retractor.png]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver|link=https://tgstation13.org/wiki/File:Screwdriver_tool.png]] (45%) [[File:Wirecutters.png|Wirecutters|link=https://tgstation13.org/wiki/File:Wirecutters.png]] (35%)
 +
|-
 +
|Step 3: '''Remove''': [[File:Hemostat.png|Hemostat|link=https://tgstation13.org/wiki/File:Hemostat.png]] '''Hemostat''': remove something.||[[File:Crowbar.png|Crowbar|link=https://tgstation13.org/wiki/File:Crowbar.png]] (55%) [[File:Fork.png|Fork|link=https://tgstation13.org/wiki/File:Fork.png]] (35%)
 +
|-
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|Step 4: '''Insert''': [[File:Hud-hands.gif|Hands|link=https://tgstation13.org/wiki/File:Hud-hands.gif]] '''Hands''': insert something.
 +
|-
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|Step 5: [[File:Cautery.png|Cautery|link=https://tgstation13.org/wiki/File:Cautery.png]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser|link=https://tgstation13.org/wiki/File:Laser_gun.png]] (90%) [[File:Welder.png|Welder|link=https://tgstation13.org/wiki/File:Welder.png]] (70%) [[File:Lighter.png|Lighter|link=https://tgstation13.org/wiki/File:Lighter.png]] (45%) [[File:Match.png|Match|link=https://tgstation13.org/wiki/File:Match.png]] (20%)
 +
|}
 +
== Prosthesis Organ Manipulation ==
 +
[[#Augmentation|Augmented]] limbs have special surgery steps for [[#Organ_Manipulation|Organ Manipulation]] that are completed with mechanical tools. '''Unlike all other procedures, this can be performed on yourself with self-surgery'''.
 +
 
 +
 
 +
[[File:Hud-target.gif|Target]] '''Target: Head, chest, groin, arms'''
 +
 
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Screwdriver_tool.png|Screwdriver]] '''Screwdriver''': unscrew the shell.||[[File:Scalpel.png|Scalpel]] (75%) [[File:Knife.png|Kitchen Knife]] (50%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Hud-hands.gif|Hands]] '''Hands''': open the hatch.
 +
|-
 +
|Step 3: [[File:Wrench.png|Wrench]] '''Wrench''' (chest and head only): unwrench the bolts.||[[File:Retractor.png|Retractor]] (10%)
 +
|-
 +
|Step 4: [[File:Multitool.png|Multitool]] '''Multitool''': prepare electronics.||[[File:Hemostat.png|Hemostat]] (10%)
 +
|-
 +
|Step 5: [[File:Hemostat.png|Hemostat]] '''Hemostat''': manipulate organs/remove implant.||[[File:Crowbar.png|Crowbar]] (65%)
 +
|-
 +
|Step 6: [[File:Wrench.png|Wrench]] '''Wrench''' (chest and head only): wrench the bolts.||[[File:Retractor.png|Retractor]] (10%)
 +
|-
 +
|Step 7: [[File:Screwdriver_tool.png|Screwdriver]] '''Screwdriver''': screw the shell.||[[File:Scalpel.png|Scalpel]] (75%) [[File:Knife.png|Kitchen Knife]] (50%) Any other sharp item (30%)
 +
|}
 +
 
 +
== Alien Organ Manipulation ==
 +
 
 +
Used to remove or add organs from [[Xenos]].
 +
 
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 2: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 3: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 4: [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 5 '''Remove''': [[File:Hemostat.png|Hemostat]] '''Hemostat''': remove something.||[[File:Crowbar.png|Crowbar]] (55%)
 +
|-
 +
|Step 5 '''Insert''': [[File:Hud-hands.gif|Hands]] '''Hands''': Insert something.
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
 +
 
 +
== Lobectomy ==
 +
This surgery is an extended organ manipulation, cutting open the chest cavity and removing a disfunctional lobe within the [[Guide_to_medicine#Organ_damage|lungs]]. This restores health to the [[Guide_to_medicine#Organ_damage|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!
 +
 
 +
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3  [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': excise the damage lung node. (95%)||[[File:Sword.gif|Energy Sword]] (45%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (25%) 
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
 +
 
 +
== Coronary Bypass ==
 +
This surgery is an extended organ manipulation, cutting open the chest cavity and grafting a bypass onto the patient's [[Guide_to_medicine#Organ_damage|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).
  
−
Step 1: Place the patient onto the operating table.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3  [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': incise the heart. (90%)||[[File:Sword.gif|Energy Sword]] (45%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (25%) 
 +
|-
 +
|Step 6  [[File:Hemostat.png|Hemostat]] '''Hemostat''': attach heart graft. (90%)||[[File:Wirecutters.png|Wirecutters]] (35%) [[File:Package_Wrapper.png|Package Wrap]] (15%) [[File:CableCoils.png|Cable]] (5%)
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 1.5: Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
+
== Hepatectomy ==
 +
Removes damaged parts of the liver so that the liver may regenerate properly. A [[Guide_to_medicine#Organ_table|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.
  
−
Step 2: [[File:Drapes.png]] Place '''drapes''' over the patient's eyes.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3  [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': incise. (90%)||[[File:Sword.gif|Energy Sword]] (45%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (25%) 
 +
|-
 +
|Step 6: [[File:Scalpel.png|Scalpel]] '''Scalpel''': remove damaged liver section. (95%)||[[File:Sword.gif|Energy Sword]] (65%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (35%) 
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 3: [[File:Scalpel.png]] Aim for the patient's eyes, and cut the skin around them with your '''scalpel'''.
+
Failing the last scalpel step will deal damage to the liver.
  
−
Step 4: [[File:Retractor.png]] Use your '''retractor''' to lift up the eyes.
+
== Gastrectomy ==
 +
Removes a piece of your duodenum, attaching your stomach back to your lower intestines. A [[Guide_to_medicine#Organ_table|stomach]] healing surgery, similar to Coronary Bypass, Lobectomy and Hepatectomy. This surgery will appear only if your stomach has at least 50 damage, and will help you be able to digest food again without disgust.
  
−
Step 5: [[File:Hemostat.png]] Use your '''hemostat''' to stop any potential bleeding.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3  [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': incise. (90%)||[[File:Sword.gif|Energy Sword]] (45%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (25%) 
 +
|-
 +
|Step 6: [[File:Scalpel.png|Scalpel]] '''Scalpel''': remove lower duodenum. (95%)||[[File:Sword.gif|Energy Sword]] (65%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (35%) 
 +
|-
 +
|Step 7: [[File:Hemostat.png|Hemostat]] '''Hemostat''': cauterize lower stomach.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 8: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
 +
Failing the second scalpel step will damage the stomach further.
  
−
Step 6: [[File:Hemostat.png]] Use '''hemostat''' again to fix the patient's eyes.
+
== Amputation ==
  
−
Step 7: [[File:Cautery.png]] Use your '''cautery''' to seal the wound.
+
Sever a limb from the torso. Tails are handled under [[#Feature_Manipulation|Feature Manipulation]] (groin).
  
−
Step 8: Wake up your patient, congratulate them on their new vision.
+
[[File:Hud-target.gif|Target]] '''Target: Head, legs, or arms'''
  
−
== Brain Surgery ==
+
{|
 +
| style="width: 400px" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 5: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 6: [[File:Scalpel.png|Scalpel]] '''Scalpel''' or [[File:Saw.png|Circular Saw]] '''Circular Saw''': sever the limb.||[[File:Chainsaw.gif|Chainsaw]] (80%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Hatchet.png|Hatchet]] (40%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (80%) Shears (300%)
 +
|}
  
−
'''The nerds next door may be doing rocket science, but hey, it's not exactly ''brain surgery''.'''
+
== Prosthetic Replacement ==
  
−
Step 1: Place the patient onto the operating table.
+
Replace a severed limb with either a normal or a robotic limb.
  
−
Step 1.5: Use a tank of anesthetic and a medical mask to make your patient sleep. (Optional)
+
[[File:Hud-target.gif|Target]] '''Target: Head, legs or arms'''
  
−
Step 2: [[File:Drapes.png]] Place '''drapes''' over the patient's head.
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|colspan="2"|Step 0: '''Acquire''' the required limb.
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|colspan="2"|Step 4: '''Limb/Cyborg limb''': replace the limb.
 +
|-
 +
|colspan="2"|Step 4(Alternative): '''Chainsaw/Synthetic Arm Blade''': replace the limb with the chosen weapon.
 +
|}
  
−
Step 3: [[File:Scalpel.png]] Aim for the patient's head with your '''scalpel''' to cut back the flesh.
 
  
−
Step 4: [[File:Hemostat.png]] Clamp bleeders with the '''hemostat''' (or use wirecutters).
+
== Augmentation ==
  
−
Step 5: [[File:Retractor.png]] Retract tissue with '''retractor'''.
+
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.<br> 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.
  
−
Step 6: [[File:Saw.png]] Cut the spine with your '''saw'''.
+
[[File:Cyborg_head.png|right|thumb|Cyborg head]][[File:Cyborg_torso.png|right|thumb|Cyborg torso]][[File:Cyborg_left_arm.png|right|thumb|Cyborg arm]]
  
−
Step 7: [[File:Hemostat.png]] Extract the brain with the '''hemostat''' (or use a crowbar).
+
''We can rebuild him. We have the technology.''
  
−
Step 8: [[File:MMI.png]] Deal with the brain, typically by putting it in an '''MMI''' and then giving it to a roboticist.
+
[[File:Hud-target.gif|Target]] '''Target: Head, chest, legs or arms'''
  
−
Step 9: [[File:Morgue.png]] Morgue the body.
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|colspan="2"|Step 0: '''Create''' the '''cyborg limb(s)''' using an '''Exosuit Fabricator'''.
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|colspan="2"|Step 4: '''Cyborg limb''': augment the limb.
 +
|}
  
−
'''Putting a brain back in'''
+
== Cavity Implant ==
  
−
Step 1: Place the patient onto the operating table.
+
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.
 +
[[File:Flashlight.png|right|thumb|Flashlight is commonly implanted]]
  
−
Step 2: Cram their brain back into their skull
+
[[File:Hud_target_torso.gif]] '''Target: Chest'''
  
−
Step 3: Usually, you take the body to be cloned.
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|colspan="2"|Step 5: [[File:Hud-hands.gif|Hands]] Place an item in the cavity or use your '''hands''' to check for items in the cavity. Repeatable.
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
 
== Implant Removal ==
 
== Implant Removal ==
  
−
Step 1: Place the patient onto the operating table.
+
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!
  
−
Step 1.5: Use a tank of anesthetic and a medical mask to make your patient sleep. (Optional)
+
[[File:Implant_Case.png|right|thumb|Removes this]]
  
−
Step 2: [[File:Drapes.png]] Place '''drapes''' over patient's chest.
+
[[File:Hud_target_torso.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 420px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''' and '''Empty Implant Case''': extract the implant.||[[File:Crowbar.png|Crowbar]] (65%) [[File:Fork.png|Fork]] (35%)
 +
|-
 +
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 3: [[File:Scalpel.png]] Aim for the patient's chest with your '''scalpel''' to cut back the flesh.
+
== Dental Implant ==
  
−
Step 4: [[File:Hemostat.png]] Clamp bleeders with your '''hemostat'''.
+
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.
  
−
Step 5: [[File:Retractor.png]] Retract skin with your '''retractor'''.
+
[[File:Hud_target_mouth.gif]] '''Target: Mouth'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Drill.png|Surgical Drill]] '''Surgical Drill''': Drill a hole in a tooth.||[[File:Mining_Drill.png|Mining Drill]] (60%) [[File:Exosuit_drill.png|Exosuit Drill]] (60%) [[File:Screwdriver_tool.png|Screwdriver]] (20%)
 +
|-
 +
|Step 2: [[File:Pill18.png|Pill]] '''Pill/Patch''': Insert a pill/patch.
 +
|}
  
−
Step 6: [[File:Hemostat.png]] Extract the implant with your '''hemostat'''.
 
  
−
Step 7: [[File:Cautery.png]] Close the wound with '''cautery'''.
+
== Brain Surgery ==
  
−
== Appendectomy ==
+
This procedure cures all '''severe''' and '''basic''' [[Guide to Traumas|traumas]] and reduces brain damage by a large amount. Failing step 5, however, causes hefty brain damage.
  
−
'''If it's useless, tear it out'''
+
[[File:Hud_target_head.gif]] '''Target: Head'''
  
−
Step 1: Place the patient onto the operating table.
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Hemostat.png|Hemostat]] '''Hemostat''': perform brain surgery. Repeatable. (85%)||[[File:Screwdriver_tool.png|Screwdriver]] (35%) [[File:Pen.png|Pen]] (15%)
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 1.5: Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
 
  
−
Step 2: [[File:Drapes.png]] Place '''drapes''' over the patient's groin.
+
== Eye Surgery ==
  
−
Step 3: [[File:Scalpel.png]] Aim for the patient's groin, and cut the skin with your '''scalpel'''.
+
This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.
  
−
Step 4: [[File:Hemostat.png]] Use your '''hemostat''' to clamp any bleeders.
+
[[File:Hud_target_eyes.gif]] '''Target: Eyes'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%)[[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': fix the patient's eyes.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Pen.png|Pen]] (25%)
 +
|-
 +
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': mend the incision.||[[File:Laser_gun.png|Laser]] (90%)[[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 5: [[File:Retractor.png]] Use your '''retractor''' to open the incision.
 
  
−
Step 6: [[File:Scalpel.png]] Use your '''scalpel''' to sever the appendix.
+
== Plastic Surgery ==
  
−
Step 7: [[File:Hud-hands.gif]] Use your '''BARE HANDS''' to pull out the appendix.
+
If the patient's face is damaged and unrecognizable it restores it, otherwise it change the face and identity of the patient.
  
−
Step 7.5: Dispose of the newly extracted appendix / eat the appendix / force feed it to the patient. (Optional)
+
[[File:Hud_target_head.gif]] '''Target: Head'''
  
−
Step 8: [[File:Cautery.png]] Cauterize the wound with the '''cautery'''.
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Scalpel.png|Scalpel]] '''Scalpel''': alter the patient's appearance.||[[File:Knife.png|Kitchen Knife]] (50%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 4: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 9: Wake up your patient and congratulate them on overcoming appendicitis!
 
  
−
== Xenomorph Removal ==
+
== Lipoplasty ==
  
−
'''GET IT OUT OF ME!'''
+
Removes excess fat from the patient. Can only be selected if the patient is fat.
  
−
Step 1: Place the patient onto the operating table.
+
[[File:Hud-hunger.gif|right|thumb]][[File:Meat.png|right|thumb|You get this]]
  
−
Step 1.5: Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
  
−
Step 2: [[File:Drapes.png]] Place '''drapes''' over the patient's chest.
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut up the fat.||[[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%)
 +
|-
 +
|Step 4: [[File:Retractor.png|Retractor]] '''Retractor''': remove the fat.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 3: [[File:Scalpel.png]] Use your '''scalpel''' to cut through the chest.
 
  
−
Step 4: [[File:Retractor.png]] Use your '''retractor''' to retract the skin.
+
== Revival ==
  
−
Step 5: [[File:Saw.png]] Use your '''saw''' to cut through the chest.
+
The target is resurrected by this surgery. It works on any non-husked corpse with a head, '''even if it doesn't have a heart'''. If the body has sustained too much damage, it'll die immediately after the revival. You can circumvent this by applying [[Guide_to_chemistry#Synthflesh|synthflesh]] or performing [[#Tend_Wounds|Tend Wounds]] beforehand.  
  
−
Step 6: [[File:Hemostat.png]] Use your '''hemostat''' to pull out the larva.
+
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Defib.png|Defibrillator Paddles]] '''Revive''': revive the target (repeatable).||[[File:StunBaton.gif|Stun Baton]] (75%) [[File:Hybrid_taser.gif|Taser Shot]] (60%)
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 7: [[File:Cautery.png]] Close the wound with '''cautery'''.
+
== Slime Core Removal ==
  
−
Step 8: Congratulations! Your patient lives!
+
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.
  
−
== Lipoplasty ==
+
[[File:Slimegrey.png|right|thumb|A slime]]
 +
 
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': extract core.||[[File:Crowbar.png|Crowbar]] (100%)
 +
|-
 +
|}
 +
 
 +
== Filter Blood ==
 +
 
 +
Removes reagents from the patient's bloodstream. Doesn't work if the patient is a husk.
 +
 
 +
[[File:Hud_target_torso.gif]] '''Target: Chest'''
 +
 
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 4: [[File:Blood_filter.png|Blood_Filter]] '''Blood filter''': Filter blood (95%). Repeatable.
 +
|-
 +
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
 +
 
 +
== Stomach Pump ==
 +
 
 +
Induces vomiting in a patient, which removes a large portion of ingested reagents from the [[Guide_to_medicine#Organ_table|stomach]]. Requirements:
 +
* Patient must not be a husk.
 +
* Patient must have reagents in the stomach from eating food.
 +
 
 +
[[File:Hud_target_torso.gif]] '''Target: Chest'''
 +
 
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|colspan="2"|Step 5: [[File:Hud-hands.gif|Hands]] '''Hand''': pump stomach. Repeatable.
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
 +
 
 +
 
 +
==Repair Bone Fracture==
 +
Repairs [[Guide_to_Wounds#Severe:_Hairline_Fracture|hairline fractures]].
 +
 
 +
[[File:Hud-target.gif|Target]] '''Target: Head, chest, legs, or arms'''
 +
 
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Bonesetter.png|Bonesetter]][[File:Bone_gel.png|Bone gel]][[File:Surgical_tape.png|Surgical tape]] '''Bonesetter/bone gel/surgical tape''': repair hairline fracture.||[[File:Sticky_tape.png|Sticky Tape]] (30%)
 +
|}
  
−
'''Why did I eat three whole pizzas?'''
+
==Repair Compound Fracture==
 +
Repairs the most critical type of bone fracture, [[Guide_to_Wounds#Critical:_Compound_Fracture|compound fractures]].
  
−
Step 1 - Place the patient onto the operating table.
+
[[File:Hud-target.gif|Target]] '''Target: Head, chest, legs, or arms'''
  
−
Step 1.5 - Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Bonesetter.png|Bonesetter]] '''Bonesetter''': reset bone.||[[File:Surgical_tape.png|Surgical tape]] (60%) [[File:Super_sticky_tape.png|Super sticky tape]] (40%) [[File:Sticky_tape.png|Sticky Tape]] (20%)
 +
|-
 +
|Step 5: [[File:Bone_gel.png|Bone gel]][[File:Surgical_tape.png|Surgical tape]] '''Bone gel/surgical tape''': repair compound fracture.||[[File:Super_sticky_tape.png|Super sticky tape]] (50%) [[File:Sticky_tape.png|Sticky Tape]] (30%)
 +
|}
  
−
Step 2 - Place '''drapes''' over the patient's chest.
 
  
−
Step 3 - Use your '''scalpel''' to cut through the chest.
+
==Debride Infected Flesh==
 +
Repairs [[Guide_to_Wounds#Burn_Wounds|burn wounds]].  
  
−
Step 4 - Clamp bleeders with the '''hemostat'''.
+
[[File:Hud-target.gif|Target]] '''Target: Head, chest, legs, or arms'''
  
−
Step 5 - Slice up the fat with the '''saw'''.
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Hemostat.png|Hemostat]] '''Hemostat''': excise infection. ||[[File:Scalpel.png|Scalpel]] (85%) [[File:Saw.png|Circular Saw]] (60%) [[File:Wirecutters.png|Wirecutters]] (40%)
 +
|-
 +
|Step 2: [[File:Gauze.png|Medical gauze]][[File:Surgical_tape.png|Surgical tape]] '''Medical gauze/surgical tape''': bandage burns. ||
 +
|}
  
−
Step 6 - Remove the fat with the '''retractor'''
 
  
−
Step 7 - Close the wound with '''cautery'''.
+
==Repair Puncture==
 +
Repairs [[Guide_to_Wounds#Pierce_Wounds|pierce wounds]]. Repeat step 2 and 3 (cycle between them) until healed.  
  
−
Step 8 - Feed the patient his own fat as a lesson in vicious circles (Optional)
+
[[File:Hud-target.gif|Target]] '''Target: Head, chest, legs, or arms'''
  
−
== Plastic Surgery ==
+
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': realign blood vessels. ||[[File:Scalpel.png|Scalpel]] (85%) [[File:Wirecutters.png|Wirecutters]] (40%)
 +
|-
 +
|Step 3: [[File:Cautery.png|Cautery]] '''Cautery''': weld veins. ||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Other]] (30%)
 +
|-
 +
|Step 4: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
'''I need to disappear forever!'''
 
  
−
Step 1 - Place the patient onto the operating table.
+
=Upgradable Surgery=
 +
These surgeries are available roundstart but can be upgraded to better or different versions by researching certain nodes and then syncing a connected operating computer.  
  
−
Step 1.5 - Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
+
==Tend Wounds==
 +
The tend wounds surgeries all share the same steps. They can be upgraded by researching certain nodes, and then syncing 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 with an adjacent and synced operating computer. <br>
  
−
Step 2 - Place '''drapes''' over the patient's head to prepare for plastic surgery.
+
The target is healed by this surgery, without any [[Guide_to_chemistry|chemicals]] being involved. Useful for healing dead bodies for [[#Revival|revival]]. This works on patients with clothes on, but it's only 55% as effective. <br>
  
−
Step 3 - Use your '''scalpel''' to make an incision in the head.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make a careful incision (does not cause damage or bleeding).||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': repair damage to the target (automatically repeats until fully healed).||[[File:Screwdriver_tool.png|Screwdriver]] (65%) [[File:Pen.png|Pen]] (55%)
 +
|-
 +
|Step 3: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 4 - Use your '''retractor''' to retract the skin around the incision.
+
*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 synced, it will heal 5 damage plus a higher bonus from damage ("bruises" and "burn" versions only).
 +
*With '''Advanced Surgery''' researched and synced, it will heal 5 damage plus an even higher bonus from damage ("bruises" and "burn" versions only).
 +
*With '''Advanced Surgery''' researched and synced, 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 synced, "tend physical wounds" will heal 3 brute and burn plus a better bonus from damage.
 +
*With '''Alien Surgery''' researched and synced, "tend physical wounds" will heal 1 brute and burn plus a very high bonus from damage.
 +
*Failing the hemostat step [[File:Hemostat.png|Hemostat]] will deal some of the damage it would have healed.
 +
*You can hold a [[File:Health_analyzer.gif|Health Analyzer]] '''Health Analyzer''' in your other hand to see your patient's remaining wounds while treating them.  
  
−
Step 5 - Use your '''scalpel''' to alter the patient's appearance.
 
  
−
Step 6 - Use your '''cautery''' to mend the incision you made.
+
If research was completed in the middle of surgery, you must restart the surgery to get the upgraded version.
  
−
Step 7 - Send that stranger to the HoP to finish his induction to the witness relocation program.
+
= 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 with a connected operating computer.
  
−
== Gender Reassignment ==
+
== Lobotomy ==
 +
Used to cure '''deep-rooted''' [[Brain Trauma#Deep-rooted Prefix|brain traumas]]. This can cause a random, '''permanent''' trauma, or if lucky, a random '''special''' trauma which gives you rare powers. '''Note that this can cause traumas regardless of the success of stages.''' Requires the "Advanced Surgery" technology. <br>
  
−
'''For when something other than xeno scum is trapped in your body'''
+
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Lobotomize''' (85%): perform the lobotomy procedure.||[[File:Knife.png|Kitchen Knife]] (35%) [[File:Shard.png|Shard]] (25%) [[File:Sword.gif|Energy Sword]] (55%) Any other sharp item (20%)
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 1 - Place the <s>victim</s> patient onto the operating table.
+
== Wing Reconstruction ==
 +
A surgical procedure that reconstructs the damaged wings of moth people. The patient must be dosed with any amount of [[Guide_to_chemistry#Synthflesh|Synthflesh]] for the last step to work. Requires the "Advanced Surgery" technology.  
  
−
Step 1.5 - Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''' (85%): start wing reconstruction.||[[File:Screwdriver_tool.png|Screwdriver]] (35%) [[File:Pen.png|Pen]] (15%)
 +
|}
  
−
Step 2 - Place '''drapes''' over the patient's groin.
+
= 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 with a connected operating computer, or everywhere by [[Cyborg#Medical|medical cyborgs]] with the surgery computer upgrade if they downloaded the surgery procedure.
 +
Borgs should be able to perform the 'Free hand' surgery steps with any tool—if not disabled modules.
  
−
Step 3 - Use your '''scalpel''' to cut through the groin.
+
== Dissection ==
 +
Dissection is a surgery used for completing the Experiments needed for Biological and Advanced Biological Technology techs, requiring an operating computer and a dead subject (You can steal monkey from geneticist lab or virology). Additionally, gives a 20% surgery speed boost to the corpse. This is mutually exclusive with [[#Autopsy]].
  
−
Step 4 - Clamp bleeders with the '''hemostat'''.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: '''Autopsy Scanner''': Dissect||
 +
|-
 +
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.
 +
|[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 5 - Use the '''scalpel''' to ''carefully'' reshape the patient's... body.
+
== Autopsy ==
−
<font color=FFFFFF>***This actually applies their body-weight in estrogen or testosterone instantly, the '''scalpel''' acts as a giant syringe in this case.</font>
+
Autopsy is a surgery which gives a full paper report on a dead corpse to give the fine details on their death and the state of the body at the time of the autopsy. Additionally, gives a 20% surgery speed boost to the corpse. This is mutually exclusive with [[#Dissection]].
  
−
Step 6 - Close the wound with '''cautery'''.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: '''Autopsy Scanner''': Perform the Autopsy.||
 +
|-
 +
|Step 4: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 7 - Perform plastic surgery to acquire a new gender appropriate name (Optional)
+
== Pacification ==
  
−
== Cavity Implant ==
+
The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.<br> Requires the "Experimental Surgery" technology.
  
−
'''My god, he's a ticking timebomb!'''
+
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Hemostat.png|Hemostat]] '''Pacify''': rewire the target's brain.||[[File:Screwdriver_tool.png|Screwdriver]] (35%) [[File:Pen.png|Pen]] (15%)
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 1 - Place the patient onto the operating table.
+
== Vein Threading ==
  
−
Step 1.5 - Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
+
The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the "Experimental Surgery" technology. Mutually exclusive with [[#Muscled_Veins|Muscled Veins]].
  
−
Step 2 - Place '''drapes''' over the patient's chest.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': thread the veins
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 3 - Use your '''scalpel''' to cut through the chest.
+
== Vein Muscle Membrane ==
  
−
Step 4 - Clamp bleeders with the '''hemostat'''.
+
Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology. Mutually exclusive with [[#Vein_Muscle_Membrane|Vein Muscle Membrane]].
  
−
Step 5 - Use your '''retractor''' to pull back the skin.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': shape vein muscles
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Step 6 - Use your '''scalpel''' to cut through to a cavity.
+
== Nerve Splicing ==
  
−
Step 7 - Carefully place an item in the cavity / Use your '''hands''' to check for items in the cavity.
+
Nerves are connected to each other multiple times, greatly reducing stun times (halving them). Requires the "Experimental Surgery" technology. Mutually exclusive with [[#Nerve_Grounding|Nerve Grounding]].
  
−
Step 8 - Close the wound with '''cautery'''.
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': splice nerves
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
==Ghetto Surgery==
+
== Nerve Grounding ==
−
It is possible to perform surgery with improvised items, but the chance to complete each step will greatly decrease.
 
  
−
'''Generic steps:'''
+
Nerves form a safe path for electricity to traverse, making the user nigh immune to all electric shocks. Requires the "Experimental Surgery" technology. Mutually exclusive with [[#Nerve_Splicing|Nerve Splicing]].
  
−
Place drapes: '''drapes''', bedsheet
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': ground nerves
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Make incision: '''scalpel''', kitchen knife (65%), shard (45%)
 
  
−
Clamp bleeders: '''hemostat''', wirecutters (60%), cable coil (15%)
+
== Ligament Hook ==
  
−
Retract skin: '''retractor''', screwdriver (45%), wirecutters (35%)
+
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. Mutually exclusive with [[#Ligament_Reinforcement|Ligament Reinforcement]].
  
−
Close incision: '''cautery''', welding tool (70%), lighter (45%), match (20%)
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': reshape ligaments
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Saw bone: '''circular saw''', hatchet (35%), butcher's cleaver (25%)
+
== Ligament Reinforcement ==
  
−
'''Plastic surgery:'''
+
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. Mutually exclusive with [[#Ligament_Hook|Ligament Hook]].
  
−
Reshape face: '''scalpel''', kitchen knife (50%), wirecutters (35%)
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': reinforce ligaments
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
'''Xenomorph removal:'''
+
== Cortex Imprint ==
 +
Performing this surgery makes the brain more resilient from '''basic''' [[Brain Trauma#Mild|brain traumas]] obtained through damage to the brain. You can only choose to either do this '''OR''' [[Surgery#Cortex Folding|Cortex Folding]], never both.
  
−
Xenomorph removal: '''hemostat''', spade (65%), minihoe (50%), crowbar (35%)
+
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': imprint cortex.
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
'''Brain removal:'''
+
== Cortex Folding ==
 +
Performing this surgery gives a higher chance of getting a '''Special''' [[Brain Trauma#Special|brain trauma]] through [[Surgery#Lobotomy|Lobotomy]]. You can only perform either this one '''OR''' [[Surgery#Cortex Imprint|Cortex Imprint]], never both.
  
−
Extract brain: '''hemostat''', crowbar (55%)
+
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': fold cortex.
 +
|-
 +
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
'''Slime core removal:'''
+
== Viral Bonding ==
  
−
Extract core: '''hemostat''', crowbar (100%)
+
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 .<br> 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 [[Guide to chemistry#Virus Food|Virus Food]], [[Guide to chemistry#Formaldehyde|Formaldehyde]], and [[Guide to chemistry#Spaceacillin|Spaceacillin]] for the "Viral Bond" step to work. This surgery will not hide the virus icon from medical huds.
 +
<br>Requires the "Experimental Surgery" technology.
  
−
'''Eye surgery:'''
+
[[File:Hud_target_chest.gif]] '''Target: Chest'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 5: [[File:Cautery.png|Cautery]] '''Viral Bond''': force a symbiotic relationship.||[[File:Welder.png|Welder]] (50%) [[File:Lighter.png|Lighter]] (35%) [[File:Match.png|Match]] (30%)
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
Fix eyes:  '''hemostat''', screwdriver (45%), pen (25%)
+
= 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 with a connected operating computer.
  
−
'''Gender reassignment:'''
 
  
−
Reshape genitals:  '''scalpel''', hatchet (oh my God) (50%), wirecutters (35%)
+
== Brainwashing ==
  
−
'''Implant removal:'''
+
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 Items#Brainwashing_Surgery_Program|Syndicate Uplink]], or researching the "Alien Surgery" technology.
  
−
Extract implant: '''hemostat''', crowbar (65%)
+
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Hemostat.png|Hemostat]] (85%) '''Brainwash''': perform the brainwashing procedure. Failing will cause brain damage.||[[File:Wirecutters.png|Wirecutters]] (50%) [[File:Package Wrapper.png|Package Wrapper]] (35%) [[File:CableCoils.png|Cable Coil]] (15%)
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
−
'''Lipoplasty:'''
+
== Necrotic Revival ==
  
−
Cut fat: '''circular saw''', hatchet (35%), butcher's cleaver (25%)
+
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 [[Guide to chemistry#Zombie Powder|Zombie Powder]] or [[Guide to chemistry#Rezadone|Rezadone]] for the "Bionecrosize" step to work. Requires the "Alien Surgery" technology.
  
−
Remove fat: '''retractor''', screwdriver (45%), wirecutters (35%)
+
[[File:Hud_target_head.gif]] '''Target: Head'''
 +
{|
 +
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
 +
|-
 +
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
 +
|-
 +
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
 +
|-
 +
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
 +
|-
 +
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
 +
|-
 +
|Step 5: [[File:Syringe.png|Syringe]] '''Bionecrosize''': perform the revival procedure.||[[File:Pen.png|Pen]] (50%)
 +
|-
 +
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
 +
|}
  
  
−
If you can't find an operating table, have no fear, you can fix someone up anywhere! Any table or bed will do, and even the floor if you have no other choice. It will reduce the chance of successfully completing a step, however.
 
  
 
[[Category:Guides]]
 
[[Category:Guides]]

Latest revision as of 02:05, 12 July 2023

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 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: Undress the part of the patient that needs surgery. You can do this by dragging them onto yourself, and then clicking the clothes you want to remove from them in the pop-up.

  • Important: The uniform the patient is wearing usually covers both legs, arms, groin and torso. Helmets, eyewear and masks always obscure the eyes, make sure to remove them if working on the eyes.

Step 2: Operating Table Place the patient onto the operating table. Do this doing a Grab action.png Grab 32.pngHold CTRL and left-click a person with your hand empty. It doesn't matter if Combat Mode Combat 32.pngEnable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm Harm 32.png them if on, or Help Help 32.png them if off. Prevents you from switching places or being pushed when colliding with people. is on or off. Repeat after a short delay to upgrade grab to aggressive (lvl 2), neck (lvl 3) and strangling (lvl 4). on the patient. Then left click the operating table to place the patient on it. You can also Rightclick.pngOrdinary right-click. It doesn't matter if Combat Mode Combat 32.pngEnable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm Harm 32.png them if on, or Help Help 32.png them if off. Prevents you from switching places or being pushed when colliding with people. is on or not. shove a person onto the table and tell them to rest, though they might not appreciate this.

  • 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 2.1 Ethanol (Optional) Splash on, spray or apply a patch with Miner's Salve (+10%), Sterilizine (+20%), alcoholic drinks (up to +46%), or Honey (+60%) for 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 2.2: Sleeping Agent (Optional) Use a tank of anesthetic and a breath mask to make your patient sleep. This way patient won't experience agonizing pain, decreasing its mood.

Step 3: Drapes Bedsheet Place drapes or bedsheet over the part of body you are operating.

  • If you done step 1 wrong, it will tell you that you must remove clothing first. If you continue without fixing, you will stab your patient instead of doing surgery.

Step 4: Turn off Combat Mode Combat 32.pngEnable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm Harm 32.png them if on, or Help Help 32.png them if off. Prevents you from switching places or being pushed when colliding with people. . Pro tip: Rightclick.pngOrdinary right-click. It doesn't matter if Combat Mode Combat 32.pngEnable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm Harm 32.png them if on, or Help Help 32.png them if off. Prevents you from switching places or being pushed when colliding with people. is on or not. will make you fail every surgery step on purpose.

Step 5: Target Aim at the appropriate body part (important!).

Step 6: Help action.pngTurn off Combat Mode Combat 32.pngEnable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm Harm 32.png them if on, or Help Help 32.png them if off. Prevents you from switching places or being pushed when colliding with people. and then left-click. 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), 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%) Any other sharp item (20%)
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%) Fork (35%)
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 unrevivable 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 revived.

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.


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. This will not keep someone conscious, but will make them suffocate slower.

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. Some starting jobs give you a liver with special benefits.

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 eating and drinking.

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, it is not required for survival so don't go worrying about that.

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, do not decay, and do not heal over time. 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

Feature Manipulation

This surgery covers operations to remove/insert external organs. External organs include lizard horns, frills, tails, snouts, moth antennae and wings, podperson hair and more. If you want to haunt someones dreams, this is the surgery for you.

Functions and mechanics associated with an external organ will be transferred aswell. Give your patient moth wings and they will be able to fly like a moth.

The body part to target depends on which external organs you want to add/remove. Tails are in the groin, while spines and wings are in the chest.

Target Target: Head, chest, groin, 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: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Remove: Hemostat Hemostat: remove something. Crowbar (55%) Fork (35%)
Step 4: Insert: Hands Hands: insert something.
Step 5: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

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%) Any other sharp item (20%)
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%) Any other sharp item (20%)
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%) Any other sharp item (20%)
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%) Any other sharp item (20%)
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%) Any other sharp item (20%)
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 6: 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.

Gastrectomy

Removes a piece of your duodenum, attaching your stomach back to your lower intestines. A stomach healing surgery, similar to Coronary Bypass, Lobectomy and Hepatectomy. This surgery will appear only if your stomach has at least 50 damage, and will help you be able to digest food again without disgust.

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%) Any other sharp item (20%)
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 6: Scalpel Scalpel: remove lower duodenum. (95%) Energy Sword (65%) Kitchen Knife (45%) Shard (35%)
Step 7: Hemostat Hemostat: cauterize lower stomach. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 8: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Failing the second scalpel step will damage the stomach further.

Amputation

Sever a limb from the torso. Tails are handled under Feature 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: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
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%) Any other sharp item (20%)
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%) Shears (300%)

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: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
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: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: 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: 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: 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: 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 and Empty Implant Case: extract the implant. Crowbar (65%) Fork (35%)
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%) Any other sharp item (20%)
Step 4: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Hemostat Hemostat: perform brain surgery. Repeatable. (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%)


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%)


Revival

The target is resurrected by this surgery. It works on any non-husked corpse with a head, even if it doesn't have a heart. 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.

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%) Any other sharp item (20%)
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%)

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. Crowbar (100%)

Filter Blood

Removes reagents from the patient's bloodstream. Doesn't work if the patient is a husk.

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: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 4: Blood_Filter Blood filter: Filter blood (95%). Repeatable.
Step 5: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Stomach Pump

Induces vomiting in a patient, which removes a large portion of ingested reagents from the stomach. Requirements:

  • Patient must not be a husk.
  • Patient must have reagents in the stomach from eating food.

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: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 4: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Hands Hand: pump stomach. Repeatable.
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Repair Bone Fracture

Repairs hairline fractures.

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: BonesetterBone gelSurgical tape Bonesetter/bone gel/surgical tape: repair hairline fracture. Sticky Tape (30%)

Repair Compound Fracture

Repairs the most critical type of bone fracture, compound fractures.

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: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 3: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 4: Bonesetter Bonesetter: reset bone. Surgical tape (60%) Super sticky tape (40%) Sticky Tape (20%)
Step 5: Bone gelSurgical tape Bone gel/surgical tape: repair compound fracture. Super sticky tape (50%) Sticky Tape (30%)


Debride Infected Flesh

Repairs burn wounds.

Target Target: Head, chest, legs, or arms

Procedure Ghetto Analogues
Step 1: Hemostat Hemostat: excise infection. Scalpel (85%) Circular Saw (60%) Wirecutters (40%)
Step 2: Medical gauzeSurgical tape Medical gauze/surgical tape: bandage burns.


Repair Puncture

Repairs pierce wounds. Repeat step 2 and 3 (cycle between them) until healed.

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: realign blood vessels. Scalpel (85%) Wirecutters (40%)
Step 3: Cautery Cautery: weld veins. Laser (90%) Welder (70%) Other (30%)
Step 4: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)


Upgradable Surgery

These surgeries are available roundstart but can be upgraded to better or different versions by researching certain nodes and then syncing 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 syncing 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 with an adjacent and synced 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 Hemostat: 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 synced, it will heal 5 damage plus a higher bonus from damage ("bruises" and "burn" versions only).
  • With Advanced Surgery researched and synced, it will heal 5 damage plus an even higher bonus from damage ("bruises" and "burn" versions only).
  • With Advanced Surgery researched and synced, 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 synced, "tend physical wounds" will heal 3 brute and burn plus a better bonus from damage.
  • With Alien Surgery researched and synced, "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.
  • You can hold a Health Analyzer Health Analyzer in your other hand to see your patient's remaining wounds while treating them.


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

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 with a connected operating computer.

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. Note that this can cause traumas regardless of the success of stages. 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%) Any other sharp item (20%)
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%)

Wing Reconstruction

A surgical procedure that reconstructs the damaged wings of moth people. The patient must be dosed with any amount of Synthflesh for the last step to work. Requires the "Advanced 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: Hemostat Hemostat (85%): start wing reconstruction. Screwdriver (35%) Pen (15%)

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 with a connected operating computer, or everywhere by medical cyborgs with the surgery computer upgrade if they downloaded the surgery procedure. Borgs should be able to perform the 'Free hand' surgery steps with any tool—if not disabled modules.

Dissection

Dissection is a surgery used for completing the Experiments needed for Biological and Advanced Biological Technology techs, requiring an operating computer and a dead subject (You can steal monkey from geneticist lab or virology). Additionally, gives a 20% surgery speed boost to the corpse. This is mutually exclusive with #Autopsy.

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: Autopsy Scanner: Dissect
Step 5: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Autopsy

Autopsy is a surgery which gives a full paper report on a dead corpse to give the fine details on their death and the state of the body at the time of the autopsy. Additionally, gives a 20% surgery speed boost to the corpse. This is mutually exclusive with #Dissection.

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: Autopsy Scanner: Perform the Autopsy.
Step 4: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

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%) Any other sharp item (20%)
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. Mutually exclusive with Muscled Veins.

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%)

Vein Muscle Membrane

Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology. Mutually exclusive with Vein Muscle Membrane.

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 (halving them). Requires the "Experimental Surgery" technology. Mutually exclusive with Nerve Grounding.

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. Mutually exclusive with Nerve Splicing.

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. Mutually exclusive with Ligament Reinforcement.

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. Mutually exclusive with Ligament Hook.

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%)

Cortex Imprint

Performing this surgery makes the brain more resilient from basic brain traumas obtained through damage to the brain. You can only choose to either do this OR Cortex Folding, never both.

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: 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: imprint cortex.
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Cortex Folding

Performing this surgery gives a higher chance of getting a Special brain trauma through Lobotomy. You can only perform either this one OR Cortex Imprint, never both.

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: 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: fold cortex.
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 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%) Any other sharp item (20%)
Step 4:Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Hemostat (85%) Brainwash: perform the brainwashing procedure. Failing will cause 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%) Any other sharp item (20%)
Step 4:Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 5: Syringe Bionecrosize: perform the revival procedure. Pen (50%)
Step 6: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)
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