All surgery requires the set of medical tools in the Operating Theatre, along with a table (a surgical table gives no negative results). For the most part, only medical doctors and the Chief Medical Officer can perform advanced surgery quickly and without a chance of failure at each step. Using analogues for tools also increases time taken and introduces chances of failure.

Step 1: Place the patient onto the operating table.

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

Step 1.5: Sleeping Agent (Optional): Use a tank of anesthetic and a breath mask to make your patient sleep.

Step 1.8: Use sterilizine if you want to improve your success chances.

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

Step 3: Switch to help intent.

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

Step 5: Do the surgery (see the steps below!).

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

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

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

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

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

Target the head to remove/replace/operate.

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

Step 1: Place the patient onto the operating table.

Step 2: Cram their brain back into their skull.

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

They're required for sight; removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark. Cybereyes allow a number of upgrades normally exclusive to goggles and are less vulnerable to flashes and welding glare.

Target the eyes to remove/replace/operate.

They're required for hearing. Removing them will make the patient deaf. Cyberears can help block the damaging effects of loud noises or provide more sensitive hearing.

Target the head to remove/replace/operate.

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. A cybertongue restores normal speech and may have other effects.

Target the mouth to remove/replace/operate.

Required for basic survival; removing it will cause a heart attack, dealing huge amounts of oxygen damage until a new heart is inserted, or death. This can be delayed with epinephrine, if you need more time. A cyberheart will attempt to automatically normalize heart rhythm if it detects cardiac failure or arrest. It will additionally provide significant boost to cardiopulmonary efficiency, resulting in a net improvement in stamina, endurance, and recovery.

Heart attacks can also be induced. In that case, to restore the heart to normal functionality, the patient needs to either be defibrillated or receive an electric shock.

Target the chest to remove/replace/operate.

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. A cyberlung provides an improvement to stamina, endurance, and recovery along with the ability to survive in lower oxygen environments and resist environmental atmospheric hazards. Also, because they are immune to cancer they are a go-to for smokers! They work best in pairs.

Target the chest to remove/replace/operate.

Required for eating or drinking. If the patient has no stomach or one that's too damaged, they can't eat food, though they can still swallow pills, sip drinks, things like that. Cyberstomachs come with one specific benefit - the ability to indulge in even more delicious food! With enhanced enzyme production you can eat and enjoy more than ever before, while also enjoying more of the nutritional benefits of the food you consume.

Target the chest to remove/replace/operate.

These filter toxins from the blood; if one of them begins to fail, they take ongoing toxin damage, and if both fail, chemicals process at half normal speed and toxin damage accumulates more quickly. Target the chest to remove/replace/operate. Cyberkidneys can provide additional control over the rate that chemicals in the user’s body are processed and absorbed. Similar to cyberintestines, while the cyberorgan is in-hand a multitool can be used to adjust the setting to a range between 75% to 150%. The lower the setting, the weaker the effect of the chemicals and the slower they will be processed. The higher setting increases the effects of any chemicals and purges them faster.

Target the chest to remove/replace/operate.

Intestines process food after it has left the stomach; failure results in the body becoming unable to gain benefit from nutrients, vitamins, and protein that would normally apply (healing effects, etc.) Cyberintestines provide the ability to regulate how efficient the digestion of chemical reagents in food will be. They can be configured in-hand using a multitool to range from absorbing no reagents from food (0%) to doubling the usual absorption amount (200%)!

Target the chest to remove/replace/operate.

The pancreas produces insulin to counter the effects of sugar and help it to metabolize; failure results in occasional toxin damage, fainting, and lack of insulin being created to handle sugar intake. A cyberpancreas automatically produces insulin if the user’s blood sugar is too high, and glycogen if the user’s blood sugar is too low. This is especially useful for diabetic patients.

Target the chest to remove/replace/operate.

The spleen produces more blood for the body; failure results in the body becoming unable to restore blood naturally. A cyberspleen simply regenerates blood at a much faster rate than does an organic spleen.

Target the chest to remove/replace/operate.

Removing it cures appendicitis and prevents it in the future, too; however, it disables some forms of magic. The cyberappendix turns an otherwise useless and potentially dangerous organ into something that could save your life. It will produce a small amount of healing chemicals in the user’s body should they be injured. Special note: the cyberappendix has been shown to have some issues with continual usage and should be proactively checked occasionally by a trained warranty specialist to ensure that no problems manifest.

Target the chest to remove/replace/operate.

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

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

Special organs that allow unusual characteristics, that can be transplanted into ordinary bioroids.

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.

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.

Through a combination of surgical procedures, you can effectively build a full-body prosthetic replacement. To do this, you need to first remove the brain:

Despite what some old-timer Roboticists may tell you, DO NOT JUST TAKE THE BONESAW AND CUT THEIR HEAD OFF WITHOUT SURGERY. Removing a brain without surgery will damage it and may result in the immediate death of the brain.

In case this happens, you will need to ask the Chemist to make some Mannitol to fix it. Once you have a beaker of it, just splash it on the brain and it should be good to go. You can always examine the brain to see if it is still damaged.

If a head is not attached to a body, you can simply use a scalpel or some other slicing/cutting item on it to cut the brain out. No need for drapes or table.

Once you have the brain, you can assemble a cyborg with robot torso, head, arms, and legs, then load the MMI into it to complete the cyborg. The MMI will boot up (assuming the consciousness is active) and may then proceed to choose a primary functions module. It can be upgraded normally.

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 someone's dreams, this is the surgery for you.

Functions and mechanics associated with an external organ will be transferred as well. 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: Head, chest, groin, arms

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: Head, chest, groin, arms

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.

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%)

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%)

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%)

Allows you to remove the core from a slime. Step 3 must be repeated for every core if slime has several. Mostly obsolete with existence of the slime grinder, but still possible with surgery when necessary. A crowbar or circular saw is 100% effective as a substitute for a bone saw in this case.

Examination of cadavers to find cause of death.

Not every surgical tool is available all the time. Sometimes you have to make do with what's available. This is a list of common surgical tools and their less successful expedients.

On a good day, Research and Development might bring you advanced surgical instruments. Being faster than your regular tools, and sometimes accomplishing several surgical steps at once, these can speed up surgery a great deal.

You'll notice most surgeries start similarly: Scalpel for incision → Hemostat for clamping bleeders → Retractor. Laser scalpels automatically cauterize the bleeders as they cut, meaning you can skip the Hemostat step and immediately move on to the Retractor (only for the initial incision! Laser scalpels don't replace your hemostat!) They can also be set to work as a faster cautery by toggling modes (use in your hand). The cautery can be removed from the scalpel by using a screwdriver on the scalpel while it's in cautery mode. You can put them back together by using the cautery on the laser scalpel or install them in a surgeon's switchtool.

This advanced tool is capable of creating an incision in one simple step. When a surgery requires you to start by making an incision, this tool will accomplish the steps of a Scalpel, Hemostat and Retractor all at once. However, beyond the initial incision, it will only work as a Retractor, albeit at an increased speed. Another great thing about this tool is that it's totally painless, meaning patients generally do not need to be asleep or restrained for surgery to take place!

The bone mender is similar to the surgical incision manager in how it performs. When a bone is damaged in any way, broken or manually cut like a rib cage or skull, this tool will fix the whole bone in one step. In conjunction with a manager you can fix a broken bone in two steps not counting cauterizing the incision making these two a powerful combo to have. It's a bone setter in nature so it's faster than a normal one; however, it will usually override that step to do it's complete mending of that bone. This is technically a substitute for bone gel since it will do most of its functions.

This handy dandy tool works like a hemostat, but at a dramatically increased speed. Unlike the hemostat, it has a 100% success rate when trying to fish out bone shards, bullets and other assorted items during surgery.

A surgical saw made of phoron hence its distinct transparent orange color just like all other phoron related things. Nothing fancy about it other than being a faster and sharper saw. It's good to have around for cutting off the heads and limbs of monkey men for transplants.

Also referred to as the C.L.O.T. due to its abilities. This tool is a scary blend of a reciprocating saw and a sewing machine that functions as an advanced version of the FixOvein. When used in hand it toggles between injection mode and Fixovein mode if it's loaded. While in injection mode you can inject up to 5 units of biofoam into a person in order to halt any internal bleeding they have. To load it with biofoam you must insert rolls of gauze (1u per) or advanced trauma kits (5u per). You can only inject a person while they are on an operation table or other valid surface to operate on. Think of it like a surgery step but you can do at any point during a surgery. The 5 units of biofoam lasts about a minute and a half.

A hand sized version of a miner's favorite tool. It has no other special features outside of finishing instantly. Expensive and boring!

This little toy can switch between most surgical tools, minimizing the amount of time you spend fumbling with your inventory. While it doesn't have bone gel or FixOVein available to it, it's an ideal tool for surgery on the field where you may not have access to all your tools. You can remove the modules by using a screwdriver on it while a tool is deployed. You can insert tools back into the switchtool if a module is empty and even replace tools that are similar in type like replacing the scalpel for a laser scalpel.

While technically not a surgery tool, this table combines the functions of a roller bed and operating table together. Like a roller bed, you can fold it and carry it in your suit item slot (if wearing the correct clothes). And like an operating table, you can place a patient over it to perform surgery with no risk of failure, essentially letting you operate on people anywhere outside of the medbay.

Surgery Contents 1 A Guide to Surgery In General 1.1 Ghetto Surgery 1.2 Surgical Tools 1.3 Advanced Surgery Tools 1.3.1 Laser Scalpels 1.3.2 Surgical Incision Manager 1.3.3 Bone Mender 1.3.4 Precision Grasper 1.3.5 Plasma saw 1.3.6 Capillary Laying Operation Tool 1.3.7 Diamond Surgical Drill 1.3.8 Surgeon's Switchtool 1.3.9 Mobile Operating Table 2 Prepping for Surgery 3 Surgery List 3.1 Bone Repair Surgery 3.2 Internal Bleeding Surgery 3.3 Mending Internal Organs 3.4 Removing and Replacing Organs 3.5 Reattaching Heads 3.6 Facial Reconstruction Surgery 3.7 Appendectomy 3.8 Limb Replacement Surgery 3.9 Eye Surgery 3.10 Cavity Surgery 3.11 Implant Removal 3.12 Alien Embryo Surgery 3.13 Brain Removal Surgery 3.14 Brain Damage Surgery 3.15 Autopsy 3.16 Butt Removal 3.17 Butt Replacement 3.18 Tooth Removal 3.19 Tooth Replacement 3.20 Gender re-assignment surgery 3.21 Notes A Guide to Surgery In General All surgery requires the set of medical tools in the Operating Theatre, along with an operating table. Remember to let each step complete fully, else you risk harming yourself or your patient. With the current nature of surgery methods that were previously unviable or dangerous to attempt are now free to use. Namely, if you don't know what step to do next, you can poke and prod in most cases and get away with it. This becomes important when you are playing around with organs, so you should try to apply an Advanced Trauma Kit, Advanced Burn Kit, FixOVein or whatever else a patient might need inbetween steps.

Ghetto Surgery If you can't find an operating table, have no fear, there are other ways to fix people up. Any table will work! Click twice on a player to put them in an aggressive grab, and click on a table. However, you have a 1/3 chance per step to make a mistake and injure the patient than actually fix them. A roller bed will also work, and mistakes are lowered to happening 1/4th of the time…

Surgical Tools Surgical tools are very hard to get and it is best to keep them in the operating theatre. However, if the worst happens and some tools disappear, you can order more in a surgery crate from cargo, and most can be made with an autolathe. FixOveins and Bone Gels can be made in vials via chemical reactions as well. While you can use other objects as ghetto surgery, it'll make mistakes on each step much more likely.

The following are the standard surgical tools most doctors will need:

Scalpel.png Scalpel Hemostat.png Hemostat Retractor.png Retractors Saw.png Circular saw Bone gel.png Bone gel Bone setter.png Bone setter Drill.png Surgical drill Cautery.png Cautery Autopsy scanner.png Autopsy scanner Anesthetics.png Sleeping agent MMI empty.png MMI

Ghetto surgical tools: Glass shard - Scalpel Kitchen knife - Scalpel Cable coil - Hemostat for clamping bleeders - FixoVein Wirecutter - Hemostat for fishing shit out like bone chips in brain damage surgery Mousetrap - Hemostat (Pretty bad) Crowbar - Retractor Fork - Retractor (Pretty bad) Screwdriver - Bone gel Metal rods - Surgical drill Wrench - Bonesetter Cigarette - Cautery Lighter - Cautery Welding tool - Cautery (Pretty bad) Hatchet - Circular saw Butcher knife - Circular saw

Advanced Surgery Tools

Prepping for Surgery Please ensure that your patients are properly diagnosed and scanned before starting the operation, and that all medications and personal needed for the procedure have been prepared.

Make sure you actually know what you need to do. Use a Bscanner.gifBscanner console.gifBody scanner and print a report. Find an OpTable.gif operating table or a MobileOperatingTable.gif mobile operating table , unless you're willing to risk Ghetto Surgery. Drag your patient's sprite on the table to lay them down. Ask them to go to sleep. If they are too stupid or unable for other reasons; Pick up a BreathingMask.png medical mask and Anesthetics.png sleeping agent. Click+drag their body onto yours to view their inventory. Check what they have on their 'Mask' slot. If it is an internals-compatible mask (Breathing mask, gas mask, lit cigar, etc), skip this step. If they are wearing a non-compatible mask, click the slot to remove the mask, then click it again to place your medical mask on them. If they are wearing nothing, simply click on the mask slot once to put the BreathingMask.png medical mask on them. Place the sleeping agent in your active hand, then click on what is on their 'Back' slot. If they are wearing a backpack or something similar you may have to do this twice – once to take off the pack, once to put on the tank. A new link will appear under the 'Back' slot, called “Set internals”. Click on it to turn on the gas. It will force them asleep in about 5 seconds. You are now ready to proceed with surgery. Make sure you're set on the Help.png Help intent. Make sure the patient isn't wearing a space- or hardsuit, UNLESS they are a plasman. Surgery List There are many different types of surgeries out there to preform. Sometimes it will be necessary to have the patient hooked up to an IV or someone on standby to inject medications during the procedure. Skeletons have no skin, as such, you can skip incisions (scalpel→hemostat→retractor) and the final cautery step.

Bone Repair Surgery The mending of broken bones and fractures

Reminder that skeletons have no skin or organs, as such you can skip directly to bonegel.

(Optional) Complete Prepping for Surgery. Aim for the afflicted limb in the Damage zone.png Damage Zone. Use the Scalpel.png scalpel to cut. Use the Hemostat.png hemostat to stop any potential bleeding. Use your Retractor.png retractors to lift up the skin. Apply Bone gel.png bone gel to the broken bone. Depending on how severe the fracture is, use Bone gel.png bone gel again, or Use the Bone setter.png bone setter to put the bone in place and Apply more Bone gel.png bone gel. Use the Cautery.png cautery to seal the incision. Or, with advanced tools:

Aim for the afflicted limb in the Damage zone.png Damage Zone. Use the Surgical-Incision-Manager.png incision manager to create an incision. Use a Bone mender.PNG bone mender to set and mend the fracture. Seal the incision with a High-Precision-Laser-Scalpel.png laser scalpel set to cautery mode (or laser cautery, if separated from the scalpel) Internal Bleeding Surgery Repairing damaged arteries and veins within the body to stop internal bleeding.

(Optional) Complete Prepping for Surgery. Aim for the afflicted limb in the Damage zone.png Damage Zone. Use the Scalpel.png scalpel to cut. Use the Hemostat.png hemostat to stop any potential bleeding. Use your Retractor.png retractors to lift up the skin. Use the Fixovein.png FixOVein to repair the damaged blood vessels. Use the Cautery.png cautery to seal the incision. Or, with advanced tools:

Aim for the afflicted limb in the Damage zone.png Damage Zone. Use the Surgical-Incision-Manager.png incision manager to create an incision. Use the Clot.png C.L.O.T. to repair the damaged blood vessels. Seal the incision with a High-Precision-Laser-Scalpel.png laser scalpel set to cautery mode (or laser cautery, if separated from the scalpel) Mending Internal Organs Mending collapsed lungs and other broken organs in torso.

(Optional) Complete Prepping for Surgery. Aim for the target region in the Damage zone.png Damage Zone. Use the Scalpel.png scalpel to cut. Use the Hemostat.png hemostat to stop any potential bleeding. Note you do not need to do this for the head. Use your Retractor.png retractors to lift up the skin or bend apart rib cage in chest. [CHEST & SKULL] Use the Saw.png saw to open the ribcage or skull. [CHEST & SKULL] Use the Retractor.png retractor to pull their ribcage or skull open. Note that this has a small chance to fracture the ribcage even when performed correctly. Use an AdvancedTraumaKit.png Advanced Trauma Kit to mend the organs. If an Advanced Trauma Kit is unavailable, you can use regular gauze, though it has a chance to fail the step and cause minor damage instead. [CHEST & SKULL] Use the Retractor.png retractor to close their ribcage. [CHEST & SKULL] Apply Bone gel.png bone gel to mend the cut ribcage or skull. [CHEST & SKULL] Apply Bone gel.png bone gel again to repair broken bones in the chest or skull. Use the Cautery.png cautery to seal the incision. Or, with advanced tools:

Aim for the target region in the Damage zone.png Damage Zone. Use the Surgical-Incision-Manager.png incision manager to create an incision. [CHEST & SKULL] Use a Plasma saw.gif plasma saw to open the ribcage or skull. [CHEST & SKULL] Use the Surgical-Incision-Manager.png incision manager to pull their ribcage or skull open. Note that this has a small chance to fracture the ribcage even when performed correctly. Use an AdvancedTraumaKit.png Advanced Trauma Kit to mend the organs. If an Advanced Trauma Kit is unavailable, you can use regular gauze, though it has a chance to fail the step and cause minor damage instead. [CHEST & SKULL] Use the Surgical-Incision-Manager.png incision manager to close their ribcage. [CHEST & SKULL] Use a Bone mender.PNG bone mender to mend the cut ribcage or skull. Seal the incision with a High-Precision-Laser-Scalpel.png laser scalpel set to cautery mode (or laser cautery, if separated from the scalpel) Removing and Replacing Organs Get rid of those pesky lungs and pop in a prosthetic.

Print and immediately place an organ in the freezer or print a prosthetic. (Optional) Complete Prepping for Surgery. Aim for the target region in the Damage zone.png Damage Zone. Cut the skin with your Scalpel.png scalpel. Use your Hemostat.png hemostat to stop any potential bleeding. Use your Retractor.png retractors to lift up the skin or bend the ribcage apart. [CHEST AND HEAD ONLY] Use the Saw.png saw to open the ribcage OR skull. [CHEST ONLY] Use the Retractor.png retractor to pull their ribcage open. Note that this has a small chance to fracture the ribcage even when performed correctly. Use your Scalpel.png scalpel to select and sever organs from the body. Use your Hemostat.png hemostat to select and extract the organ. Place the new organ or prosthetic in. Use your Fixovein.pngFixOVein to attach the organ to the body. Still required with Prosthetic organs. Apply an AdvancedTraumaKit.pngAdvanced Trauma Kit (or bruisepack) to the organ. Not required with Prosthetic organs. [CHEST ONLY] Use the Retractor.png retractor to close their ribcage. [CHEST ONLY] Apply Bone gel.png bone gel to mend the cut ribcage. [CHEST ONLY] Apply Bone gel.png bone gel again to repair broken bones in the chest. Cauterize the wound with the Cautery.png cautery. Or, with advanced tools:

Aim for the target region in the Damage zone.png Damage Zone. Use the Surgical-Incision-Manager.png incision manager to create an incision. [CHEST & SKULL] Use a Plasma saw.gif plasma saw to open the ribcage or skull. [CHEST & SKULL] Use the Surgical-Incision-Manager.png incision manager to pull their ribcage or skull open. Note that this has a small chance to fracture the ribcage even when performed correctly. Use a High-Precision-Laser-Scalpel.png laser scalpel set to cutting mode to select and sever organs from the body. Use your PrecisionGrasper.png precision grasper to select and extract the organ. Place the new organ or prosthetic in. Use your Clot.png C.L.O.T. to attach the organ to the body. Still required with Prosthetic organs. Apply an AdvancedTraumaKit.pngAdvanced Trauma Kit (or bruisepack) to the organ. Not required with Prosthetic organs. [CHEST & SKULL] Use the Surgical-Incision-Manager.png incision manager to close their ribcage. [CHEST & SKULL] Use a Bone mender.PNG bone mender to mend the cut ribcage or skull. Seal the incision with a High-Precision-Laser-Scalpel.png laser scalpel set to cautery mode (or laser cautery, if separated from the scalpel) Reattaching Heads Putting people back together after you someone takes them apart.

(Optional) Complete Prepping for Surgery. (Strongly Recommended) Use your Healthanalyzer.png health analyzer on the head to verify that it still has a brain in it, and that the brain is not beyond recovery. Aim for where the patient's head would be in a normal operation in the Damage zone.png Damage Zone. Use Retractor.png retractors (or Surgical-Incision-Manager.png incision manager) to peel back the tattered flesh. Use a Fixovein.png FixOVein (or Clot.png C.L.O.T.) to repair and reshape. Use a Hemostat.png Hemostat (or PrecisionGrasper.png precision grasper) to suture the neck stump. Use a Cautery.png Cautery (or High-Precision-Laser-Scalpel.png laser scalpel set to cautery mode) to adjust the spine and nerve endings. Finally reattach the Head. Drag the body to Genetics to be cloned. Facial Reconstruction Surgery The fixing of facial deformaties.

(Optional) Complete Prepping for Surgery. Aim for the patient's mouth not head in the Damage zone.png Damage Zone. Cut the skin with your Scalpel.png scalpel. Use your Hemostat.png hemostat to reshape the face and vocal chords. Use your Retractor.png retractors to pull skin back into place. Cauterize the wound with the Cautery.png cautery. Appendectomy Removal of an inflamed appendix.

(Optional) Complete Prepping for Surgery. Aim for the patient's groin in the Damage zone.png Damage Zone. Cut the skin with your Scalpel.png scalpel. Use your Hemostat.png hemostat to stop any potential bleeding. Use your Retractor.png retractors to lift up the skin. Use your Scalpel.png scalpel to cut out the appendix. Use your Hemostat.png hemostat to extract the appendix. (Optional) Dispose of the newly extracted appendix. Cauterize the wound with the Cautery.png cautery. Or, with advanced tools:

Aim for the patient's groin in the Damage zone.png Damage Zone. Use the Surgical-Incision-Manager.png incision manager to create an incision. Use your High-Precision-Laser-Scalpel.png laser scalpel set to cutting mode to cut out the appendix. Use your PrecisionGrasper.png precision grasper to extract the appendix. Seal the incision with a High-Precision-Laser-Scalpel.png laser scalpel set to cautery mode (or laser cautery, if separated from the scalpel) Limb Replacement Surgery Replacing missing limbs with robotic ones.

(Optional) Complete Prepping for Surgery. (Optional) Remove the limb

• Aim for the patient's desired limb using the Damage zone.png Damage Zone.
• Use your Saw.png circular saw remove the limb.
• In the case of the head, aim for the patient's mouth and use the Saw.png circular saw to decapitate the patient.

Aim for the patient's affected (missing) limb using the Damage zone.png Damage Zone. Cut the flesh with your Scalpel.png scalpel. Use your Retractor.png retractors to reshape the area. Use the Cautery.png cautery to allow a limb to be attached. Attach the appropriate robotic limb from Robotics or construct a peg limb using two wood planks. You can harvest wood from Hydroponics plants. Robotic limbs are tougher than normal limbs, and do not count towards overall damage. However, they can only be repaired by welders (for brute damage) or wires (for burn damage), and malfunction if damaged. Robotic limbs explode when they take too much damage. Peg limbs are cheap and easy to make, but result in slower walking speed. They also cannot be repaired.

Eye Surgery Giving sight back to the blind.

(Optional) Complete Prepping for Surgery. Aim for the patient's eyes in the Damage zone.png Damage Zone. Cut the skin around them with your Scalpel.png scalpel. Use your Retractor.png retractors to lift up the eyes. Use your Hemostat.png hemostat to stop any potential bleeding. Use your Cautery.png cautery to seal the wound. Cavity Surgery Putting things inside peoples' body cavities. Maxiumum size of item that fits inside:

Head - tiny (i.e. pen, paper) Abdomen - pocket-size (i.e. most surgical tools) Chest - small (i.e. bone saw, revolver) Aim for the chest, abdomen or head in the Damage zone.png Damage Zone. Use the Scalpel.png scalpel to cut. Use the Hemostat.png hemostat to stop any potential bleeding. Note that you do not need to do this for the head. Use your Retractor.png retractors to lift up the skin. [CHEST AND HEAD ONLY] Use the Saw.png saw to open the ribcage. [CHEST AND HEAD ONLY] Use the Retractor.png retractor to pull their ribcage open. Note that this has a small chance to fracture the ribcage even when performed correctly. Use the Drill.png surgical drill to prepeare cavity. Insert the item inside. If it caused internal bleeding, use FixOVein to fix it. If you decided not to put item inside, use Cautery.png cautery to mend cavity wall. [CHEST ONLY] Use the Retractor.png retractor to close their ribcage. [CHEST ONLY] Apply Bone gel.png bone gel to mend the cut ribcage. Use the Cautery.png cautery to seal the incision. Implant Removal Removing implants from the body. Also removal of things from body cavities.

(Optional) Complete Prepping for Surgery. Aim for the implant location on the Damage zone.png Damage Zone. Cut the skin with your Scalpel.png scalpel. Use your Hemostat.png hemostat to stop any potential bleeding. Use your Retractor.png retractors to lift up the skin. Use your Hemostat.png hemostat to stop bleeding. (May not be needed) Use the Saw.png saw to open the ribcage. [CHEST AND HEAD ONLY] Use the Retractor.png retractor to pull their ribcage open. [CHEST AND HEAD ONLY] Note that this has a small chance to fracture the ribcage even when performed correctly. Use your Hemostat.png hemostat to extract the implant. This may take several goes. Use the Retractor.png retractor to close their ribcage. [CHEST AND HEAD ONLY] Apply Bone gel.png bone gel to mend the cut ribcage. [CHEST AND HEAD ONLY] Cauterize the wound with the Cautery.png cautery.

Alien Embryo Surgery Removing hazardous parasites from the body.

(Optional) Complete Prepping for Surgery. Aim for the chest in the Damage zone.png Damage Zone. Use the Scalpel.png scalpel to cut. Use the Hemostat.png hemostat to stop any potential bleeding. Note you do not need to do this for the head.

Use your Retractor.png retractors to lift up the skin. Use the Saw.png saw to open the ribcage. Use the Retractor.png retractor to pull their ribcage open. Note that this has a small chance to fracture the ribcage even when performed correctly. Use the Hemostat.png hemostat to remove the alien embryo. Use the Retractor.png retractor to close their ribcage. Apply Bone gel.png bone gel to mend the cut ribcage. Use the Cautery.png cautery to seal the incision.

Brain Removal Surgery Removal of the brain so that it can be used for nefarious purposes

For attached heads.

Aim for the patient's head in the Damage zone.png Damage Zone. Use a Scalpel.png scalpel to start an incision. Use a Hemostat.png hemostat to prevent blood from spilling everywhere. Use the Retractor.png retractor to keep the incision open. Saw.png Circular saw the skull open. Use the Retractor.png retractor again to keep the skull open. Cut the connective tissue with your Scalpel.png scalpel. Remove the actual brain with your Hemostat.png hemostat. If you want to close up the patient's head afterwards, use your Cautery.png cautery. The Brain.png brain will be on the floor under your feet. At this point, depending on what's going on, you have a few options: Place it in an MMI empty.png MMI and give it to a Roboticist for Borgification. Store it in a nearby freezer crate. If the brain is completely unresponsive, give it to the Chef. Assuming you've done the above steps again on another patient to swap brains: Place the new brain into the patient, see This for specifics. Use a defibrillator to revive the patient if they are in a revivable state or Take the patient to Genetics for cloning. Note: Humanoids without a brain or with the brain detached but not yet removed can't feel pain.

For separated heads.

Place the patient's head on a surgical table or other type of table. Aim for the patient's head in the Damage zone.png Damage Zone. Use a Scalpel.png scalpel to cut your patient up. Use your Saw.png Circular saw to cut your patient up more. Use a Scalpel.png scalpel to rip the head open completely. Use your Saw.png Circular saw to get the brain out.

Brain Damage Surgery Fixing subdural hematoma.

Complete Prepping for Surgery. Aim for the patient's head in the Damage zone.png Damage Zone. Use a Scalpel.png scalpel to cut back the flesh. Use a Hemostat.png hemostat to clamp the bleeders. Use the Retractor.png retractors to pull back the scalp. Saw.png Circular saw the skull open. Use the Retractor.png retractors to force open the skull. Use a Hemostat.png hemostat to take out bone chips. Use the Fixovein.png FixOVein to repair the damaged blood vessels. Use the Retractor.png retractors to close the skull back. Use the Bone gel.png bone gel to fuse the skull closed. Use the Cautery.png cautery to seal the incision.

Notes Clumsy people will make clown related sounds when performing surgery and can sometimes pull out funny objects, like rubber ducks or joker cards.

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The Basics Tools of the Trade If you're going to practice the noble art of healing, you'll need the right equipment to hand. Here's the full set of things you'll need to have to hand (although not all at once). There are also upgraded versions that Research can produce, and make-do alternatives you can use in a pinch - but those might not work quite as well.

Scalpel Hemostat Retractor Bone Saw Cautery Bone Gel Bone Setter Fix-o-Vein Surgical Drill Peridaxon Scalpel.png Hemostat.png Retractor.png BoneSaw.png Cautery.png BoneGel.png BoneSetter.png FixoVein.png SurgicalDrill.png Peridaxon.png Trauma Kit Nanopaste MMI Anesthetic Gas Medical Mask Sterile Mask Latex Gloves Dropper Biopsy Scanner Blood Bag TraumaKit.png Nanopaste.png MMI.png AnestheticTank.png MedicalMask.png SterileMask.png LatexGloves.png Dropper.png BiopsyScanner.png BloodBag.png Note: The more advanced scalpels from RnD let you skip steps when opening surgical cuts. The Laser Scalpels all skip the hemostat step, while the Incision Management System skips both the hemostat step and the retractor step, greatly speeding up the process. Other than that, they function as scalpels in all regards.

Appropriate surroundings There's more to surgery than just the tools - you should make sure you're ready before starting. To make a procedure is done quickly, easily, and without complications, you should:

You can't do surgery just anywhere. The best place to have your patient while operating is on a surgery table. If that's impossible you can keep them strapped into a medical roller bed or even just have them lie on a table, although these make it easy to slip and injure your patient by accident. You should also make sure you're not going to be interrupted in the middle of a procedure - you have to finish your work if you want your patient to survive.

Biological Patients So You're a Surgeon Congratulations! If you're reading this, you're either a capable medical professional or something has gone horribly wrong. As a surgeon, your role in medical is to make sure that the bones, organs, and blood stay inside your patient and aren't leaking more than expected. In a proper operating theater with a full set of appropriate tools, this is an easy task! For a step by step primer to every task you're likely to encounter, read on.

Before Operating Make sure your patient is prepared Surgery is a traumatic experience. Most patients will prefer to be sedated or anesthetized before you start working on them (and the ones that refuse both are just plain silly). Your best option is anesthetic gas tanks - putting someone on gas will keep them pain free and asleep, preventing them from moving mid-procedure and injuring themselves and be easily removed afterward. You can also use injected or ingested soporific for a similar effect, although this is less convenient as you'll need to remove any remaining soporific after the surgery to wake the patient up. Painkillers such as oxycodone and tramadol are also effective for pain management during surgery if the patient is unwilling or unable to be sedated. Additionally, if the patient is not breathing for any reason, such as a popped lung or significant brain damage, regular gas anesthetics will not work.

Make sure your hands are clean Infections are lethal in the long term. The easiest way to make sure your patient stays complication-free is to take precautions against causing them by ensuring that your hands aren't teeming with germs. Washing your hands is an effective preventative measure, and you can also use sterilizine on yourself and your tools to be absolutely sure of their cleanliness. Wherever possible, you should also wear proper dress for the occasion - surgical scrubs, a surgical cap, latex gloves, and a breath or surgical mask all help protect your patient from you. If you can't do most of these things or you're just cautious, make sure to give your patient a shot of spaceacillin before or after the procedure.

The Procedures Opening and Closing What You're Doing Where To Aim Steps To Take Opening an incision The body part to be operated on Scalpel.png → Hemostat.png → Retractor.png Closing an incision The body part to be closed up Cautery.png Opening the head or body The head or upper body Scalpel.png → Hemostat.png → Retractor.png → BoneSaw.png → Retractor.png Closing the head or body The head or upper body Retractor.png → BoneGel.png → Cautery.png

Treating Problems What You're Doing Where To Aim Steps To Take Fixing Broken Bones Where the broken bone is Open an incision → BoneGel.png → BoneSetter.png → BoneGel.png → Close incision Fixing Brute or Burn Which limb is damaged. Open an incision - > BiopsyScanner.png → Brute: TraumaKit.png / Cautery.png Burn: Burnkit.png / FixoVein.png - > Repeat previous step until damage is removed. - > Close incision. Repairing Internal Organs Head, upper, or lower body Open → TraumaKit.png / Nanopaste.png → Close Reattaching a Brainstem Head Open → Insert Brain → FixoVein.png → FixoVein.png → SurgicalDrill.png → Hemostat.png → FixoVein.png → BoneGel.png → Hemostat.png → Close Recovering from Brain Death Head Open → TraumaKit.png → FixoVein.png → SurgicalDrill.png → Hemostat.png → FixoVein.png → BoneGel.png → Hemostat.png → Close Stopping Internal Bleeding Where the internal bleeding is Open → FixoVein.png → Close Removing Limbs and Preparation for Prosthesis The extremity or stump to remove BoneSaw.png → Target extremity or stump. → TraumaKit.png (To bandage) Replacing Limbs & Heads The extremity or stump to replace Click with replacement limb → Hemostat.png Extracting Objects Where the embedded object is Open → Hemostat.png until successful → Close Implanting Objects Where you want to embed the object Open → SurgicalDrill.png → Object to implant → FixoVein.png if a vein is torn → Close Damaged Faces Mouth Open incision → Close Removing Internal Organs Head, upper, or lower body Open → Scalpel.png → Hemostat.png → Close Transplanting Internal Organs Head, upper, or lower body Open → Scalpel.png → Replacement Organ → FixoVein.png → Close Removing Necrosis The necrotic area Open → Scalpel.png → Dropper.png with Peridaxon → Close Autopsies & Biopsies The damaged area Open → BiopsyScanner.png → Close Synthetic Patients So you're a Roboticist Congratulations! As a roboticist you don't have to worry about unpleasantries like patients bleeding to death, but your Synthetic crewmates can be every bit as clumsy as the more traditional meat-people. Thankfully, your lab is equipped with fully featured surgical facilities for both assembly and repairs prosthetic limbs and bodies. Here, we'll be covering repairs in detail.

The Procedures Opening and Closing What You're Doing Where To Aim Steps To Take Opening a hatch The prosthetic to be operated on Screwdriver.png → Crowbar.png Closing a hatch The body part to be closed up Crowbar.png

Treating Problems What You're Doing Where To Aim Steps To Take Fixing Brute Damage Where the damage is Wear your WeldingMask.png → WelderOn.gif Fixing Burn Damage Where the damage is Open → CableCoil.png (Repeat until fixed) → Close Repairing Internal Organs Head, upper, or lower body Open → Screwdriver.png / Nanopaste.png → Close Removing Limbs The extremity or stump to remove BoneSaw.png → Target extremity or stump to remove. Replacing Limbs & Heads The extremity or stump to replace BoneSaw.png → Target extremity or stump to remove. → Close Extracting Objects Where the embedded object is Open → Hemostat.png until successful → Close Implanting Objects Where you want to embed the object Open → SurgicalDrill.png → Object to implant → FixoVein.png if a vein is torn → Close Damaged Faces Head Fix any brute + burn damage Removing Internal Organs Head, upper, or lower body Open → Multitool.png → Wirecutters.png → Close Transplanting/Inserting Internal Organs Head, upper, or lower body Open → Replacement Organ → Screwdriver.png → Close Transplanting MMI Head Open → Replacement MMI → Close

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

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

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

Beginning of any Operation Step 1: Operating Table Place the patient onto the operating table.

If there is no table, you can use: any table (80%), any bed (70%), ask them to lie on the floor (50%). Chances of successfully completing every step will be reduced. Step 1.5: Sleeping Agent (Optional) Use a tank of anesthetic and a breath mask to make your patient sleep. Use sterilizine if you want to improve your success chance.

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

Step 3: Help Intent Switch to help intent.

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

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

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

Procedure Ghetto Analogues Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 2: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%) Step 3(Head/Chest only): Circular Saw Circular Saw: saw through bones. Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%) Step 4: Hemostat Hemostat: clamp the bleeders. Wirecutters (60%) Cable (15%) Step 5: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 6 Remove: Hemostat Hemostat: remove something. Crowbar (55%) Step 6 Insert: Hands Hands: insert something. Step 7: Cautery Cautery: seal the wound. Welder (70%) Lighter (45%) Match (20%)

(Alien Organ Manipulation variant for xenos) Procedure Ghetto Analogues Step 1: Circular Saw Circular Saw: saw through the bone. Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%) Step 2: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%) Step 4: Circular Saw Circular Saw: saw through the bone. Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%) Step 5 Remove: Hemostat Hemostat: remove something. Crowbar (55%) Step 5 Insert: Hands Hands: Insert something. Step 6: Cautery Cautery: seal the wound. Welder (70%) Lighter (45%) Match (20%)

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

Hud target crotch.gif Target: Groin

Heart Hud target chest.gif Target: Chest

Lungs Hud target chest.gif Target: Chest

Tongue Hud target head.gif Target: Mouth

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

Xenomorph Embryo FacehuggerLarva Hud target chest.gif Target: Chest

Brain BrainAlien brain Hud target head.gif Target: Head

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

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

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

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

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

Cavity Implant Implant/Remove an object in the chest. Tiny and small items can be implanted. Implanting a flashlight allows the patient to toggle it on or off.

Flashlight is commonly implanted File:Hud target torso.gif Target: Chest

Procedure Ghetto Analogues Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Cable (15%) Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%) Step 4: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 5: Hands Place an item in the cavity / Use your hands to check for items in the cavity. Step 6: Cautery Cautery: seal the wound. Welder (70%) Lighter (45%) Match (20%)

Eye Surgery This fixes all damage done to eyes (fixing blindness), except genetic. Failing the step 4 will cause 100 brain damage to the patient.

Hud target eyes.gif Target: Eyes

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

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

Hud target head.gif Target: Mouth

Procedure Step 1: Surgical Drill Surgical Drill: Drill a hole in a tooth. Step 2: Pill Pill/Patch: Insert a pill/patch.

Gender Reassignment Change the patient's gender. Failing step 3 will make patient's gender ambiguous.

Hud target crotch.gif Target: Crotch

Procedure Ghetto Analogues Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Cable (15%) Step 3: Scalpel Scalpel: reshape the patient's… body. Hatchet (oh god) (50%) Wirecutters (35%) Step 4: Cautery Cautery: mend the incision. Welder (70%) Lighter (45%) Match (20%) Step 5: (Optional) Perform plastic surgery to acquire a new gender appropriate name.

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

Removes this File:Hud target torso.gif Target: Chest

Procedure Ghetto Analogues Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Cable (15%) Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%) Step 4: Hemostat Hemostat: extract the implant. Crowbar (65%) Step 5: Cautery Cautery: seal the wound. Welder (70%) Lighter (45%) Match (20%)

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

Cyborg head

Cyborg torso

Cyborg arm We can rebuild him. We have the technology.

Target Target: Head, chest, legs or arms

Procedure Ghetto Analogues Step 0: Create the cyborg limb(s) using an Exosuit Fabricator. Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Cable (15%) Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%) Step 4: Scalpel Scalpel: sever the muscles. Wirecutters (55%) Step 5: Circular Saw Circular Saw: cut through the bone. Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%) Step 7: Cyborg limb: augment the limb.

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%) Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Cable (15%) Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%) Step 4: Cyborg limb: replace the limb.

Lipoplasty Hud-hunger.gif

You get this Hud target chest.gif Target: Chest

Procedure Ghetto Analogues Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) 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. 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%) 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. Welder (70%) Lighter (45%) Match (20%)

Slime Core Removal Remove core from slime. Step 3 must be repeated for every core if slime has several. Mostly obsolete with existence of slime grinder, but still possible.

A slime Procedure Ghetto Analogues Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 2: Scalpel Scalpel: make an incision again. Kitchen Knife (65%) Shard (45%) Step 3: Circular Saw Circular Saw: extract the core. Crowbar (100%)

Tail Removal The lizard cannot wag if you disable its tail.

Procedure Ghetto Analogues Step 1: Scalpel Scalpel: make an incision. Hatchet (35%) Butcher's Knife (25%) Changeling's Arm Blade (75%) Step 2: Cautery Cautery: seal the wound. Welder (70%) Lighter (45%) Match (20%)

Tail Attachment WHAT HAS SCIENCE DONE?

Procedure Ghetto Analogues Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Cable (15%) Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%) Step 4: Scalpel Scalpel: sever the muscles. Wirecutters (55%) Step 5: Tail: Attach the tail.

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READ THIS FIRST The chart that shows what surgeries each role is qualified to perform.

Surgery/Treatment Types by Role Treatment Type First Responder Roboticist Physician Surgeon Bone Repair NO NO YES YES Arterial Bleeding NO NO YES YES Tendon Repair NO NO YES YES Amputation YES YES YES YES Limb Replacement NO YES IF MECHANICAL NO YES Cavity Surgery NO NO YES YES Foreign Body Removal NO NO YES YES Organ Transplant NO NO NO YES Necrotic Limb Repair NO NO NO YES K'ois Mycosis NO NO NO YES Autopsy NO NO YES YES Hardsuit Removal YES YES YES YES Cyborgification NO YES NO YES Plastic Surgery NO NO NO YES Brain Repair NO NO NO YES Eye Repair NO NO NO YES Heart Repair NO NO YES YES Lung Repair NO NO YES YES Liver Repair NO NO NO YES Kidney Repair NO NO NO YES Stomach Repair NO NO NO YES Appendix Removal NO NO YES YES A Guide to Surgery In General All surgery requires the set of surgical instruments in the Operating Theatre, along with an operating table. In general, only Roboticists, Physicians, Surgeons, and the Chief Medical Officer (if qualified) can (ICly) perform advanced surgery. Remember to let each step complete fully, else you risk harming the patient.

Ghetto Surgery If you can't find an operating table, have no fear, there are other ways to fix people up. Any table will work! Click twice on a player with grab intent to put them in an aggressive grab and click on a table. Be sure to tell them to rest, otherwise they might automatically get back up mid-procedure. Note that you have a 1/3 chance per step to make a mistake and injure the patient rather than advancing the procedure. While tables are more available anywhere metal is on hand, deploying the patient on a roller bed is preferable with only a 1/4 chance to fail.

NOTE ABOUT GHETTO SURGERY Performing this as a crew member and a non-antagonist one (unless the situation really calls for it. If you have any questions, you're free to ahelp it) might possibly lead to action being taken against you by the internal security team or IAA, which would result in your character in being 'fired' or disciplined.

Surgical Tools Surgical tools are very hard to get and it is best to keep them in the operating theatre. However, if the worst happens and some tools disappear, you can order more in a surgery crate from cargo, and most can be made with an autolathe.

The following are the standard surgical tools most doctors will need:

Standard Tools:

Scalpel.png Scalpel Hemostat.png Hemostat Retractor.png Retractors Saw.png Circular saw Cautery.png Cautery Bone gel.png Bone gel Bone setter.png Bone setter Drill.png Surgical drill BreathingMask.png Medical mask Anesthetics.png Anesthetic tank Autopsy scanner.png Autopsy scanner Sterilemask.png Sterile mask LGloves.png Latex gloves Traumakit.png Advanced trauma kit Nanopaste.png Nanopaste MMI empty.png MMI Advanced Tools:

Scalpmanager.png Incision Management System Laserscalp.png Laser scalpel Ghetto surgical tools:

CableCoils.png Cable Coil GlassShard.png Glass Shard Wirecutters.png Wirecutters Crowbar.png Crowbar Welderon.gif Welding Tool Taperoll.png Tape Roll Mousetrap.png Mousetrap Fork.png Fork Cigarette.gif Cigarette Lighter.png Lighter Rods.png Metal Rods Wrench.png Wrench Knife.png Kitchen Knife Infection Wear gloves and wash your hands before every surgery. Failure to do so will result in giving your patient an infection which, if left untreated, can be deadly. Apply ointment to the afflicted areas quickly if you fail to wash your hands before starting surgery.

Prepping for Surgery Please ensure that your patients are properly diagnosed and scanned before starting the operation, and that all medications and personnel needed for the procedure have been prepared.

Find a suitable OpTable.gif operating table, unless you're willing to risk Ghetto Surgery. Make sure you're wearing LGloves.png latex gloves and a Sterilemask.png sterile mask. Ask the patient to strip, or clickdrag them onto your body and click on all of their items to remove them. Grab.png Grab the patient and click on the operating table to lay them down on it. Alternatively, ask them to lie down on it. Check the Crewmonitor.gif Operating Computer to ensure the patient is positioned properly; if the monitor does not show the patient's vitals, the surgery will not work. Pick up a BreathingMask.png medical mask and Anesthetics.png a tank of sleeping agent. Clickdrag their body onto yours to view their inventory. With the medical mask in your right hand, click on the “Nothing” link at the top beside “Head (Mask)”. In a few seconds, you will equip them with the medical mask. Place the sleeping agent in your right hand, then click the “Nothing” link in their inventory window beside “Back” to equip it on their back. A new link will appear beside the sleeping agent called “Set internals”. Click on it to turn on the gas. It will force them asleep in about 5 seconds. You are now ready to proceed with surgery. You may need to clickdrag their body onto yours again to refresh the window to actually see the option to enable their internals. Make sure you're set on the Help.png Help intent. Use a sink to wash your hands. Unclean hands can result in an infected wound. This is treatable with ointment. NOTE: If anyone is pulling on the patient, the surgery will not work properly! Make sure no one is pulling the patient!

Surgery List There are many different types of surgeries out there to perform. Sometimes it will be necessary to have the patient hooked up to an IV or someone on standby to inject medications during the procedure.

Opening a Surgical Site The first steps of most surgeries.

NOTE: Steps 3-5 can be replaced with one use of an Scalpmanager.png IMS if one is available to you. Steps 3 and 4 can be replaced with one use of a Laserscalp.png Laser Scalpel. (Optional) Complete Prepping for Surgery. Aim for the location in the Damage zone.png Damage Zone. Use the Scalpel.png scalpel to create an incision. If the patient is Vaurca, use the Drill.png drill instead. Use the Hemostat.png hemostat to stop any potential bleeding. Use your Retractor.png retractors to lift up the skin.

For internal work in chest and skull only:

Use the Saw.png bone saw to cut through the bone. Use your Retractor.png retractors to move the bone aside. GHETTO:

Scalpel.png Scalpel - Knife 50%, glass shard 20% Laserscalp.png Laser Scalpel - Level 1 75%, Level 2 85%, Level 3 95%, energy sword 5% Hemostat.png Hemostat - Cable coil 75%, mousetrap 20% Retractor.png Retractor - Crowbar 75%, fork 50% Saw.png Surgical Saw - Hatchet 75% Closing a Surgical Site The final steps of most surgeries.

Aim for the location in the Damage zone.png Damage Zone. If you had to use the Saw.png bone saw earlier (chest/head):

Use your Retractor.png retractors to put the bones back into place. Apply Bone gel.png bone gel to mend their ribcage/skull unless the bone was fractured during the sawing phase, in which case, conduct bone repair before continuing. Then, after the above (or if it was not required):

Use the Cautery.png cautery to seal the incision. GHETTO:

Retractor.png Retractor - Crowbar 75% Bone gel.png Bone Gel - Tape Roll 60% Cautery.png Cautery - Cigarette 75%, lighter 50%, welder 25% Bone Repair The mending of broken bones and fractures

(Optional) Complete Prepping for Surgery. Perform Opening a Surgical Site. Ensure the target limb doesn't have over 30 brute damage (15 for hands and feet), otherwise the bone will break again. Apply Bone gel.png bone gel to the broken bone. If you are fixing broken bones in the head or chest, apply a second smearing of Bone gel.png bone gel. Use the Bone setter.png bone setter to set the bone in place. Apply more Bone gel.png bone gel. Perform Closing a Surgical Site. GHETTO:

Bone gel.png Bone Gel - Tape Roll 60% Bone setter.png Bone Setter - Wrench 75% Plastic Surgery The altering and repair of a patient's face.

Aim for the patient's mouth - not head - in the Damage zone.png Damage Zone. Cut the skin with your Scalpel.png scalpel. Use your Retractor.png retractors to retract the skin, preparing the patients face Use your Hemostat.png hemostat to begin fixing vocal cords if needed' otherwise begin the process of fixing any other facial deformity or modification Cauterize the incision with the Cautery.png cautery. SHELL IPC'S ONLY BELOW!

Aim for the patient's mouth - not head - in the Damage zone.png Damage Zone. Cut the skin with your Scalpel.png scalpel. Use your Retractor.png retractors to retract the skin, preparing the patients face Multitool.png multi-tool to begin fixing synth voice box if needed' otherwise begin the process of fixing any other synthskin deformity or modification Cauterize the incision with the Cautery.png cautery.

GHETTO:

Scalpel.png Scalpel - Knife 75%, glass shard 50% Retractor.png Retractor - Tactical Knife 75% Arterial Bleeding and Severed Tendon Repair Repairing damaged arteries and tendons.

(Optional) Complete Prepping for Surgery. Perform the steps in Opening a Surgical Site. Use the Fixovein.png FixOVein to repair the damaged blood vessels. Perform the steps in Closing a Surgical Site. GHETTO:

Fixovein.png Fix'O'Vein - Cable coil 75% Amputation Removing a limb or a limb stump.

(Optional) Complete Prepping for Surgery. Aim for the patient's limb using the Damage zone.png Damage Zone. Use a Saw.png circular saw to amputate the limb. (Optional) Conduct Bone Repair on the parent body. GHETTO:

Saw.png Circular Saw - Hatchet 55% Limb Replacement Replacing missing limbs.

(Optional) Complete Prepping for Surgery. Perform the steps in Amputation. Attach the desired limb, whether it's the patient's or a robotic limb. Ensure the patient is able to manipulate their new limb before releasing them. For organic limbs, be ready to inject Thetamycin as the replacement limb is surely infected.

Internal Organ Repair Mending organ damage. Yes, even brain damage.

(Optional) Complete Prepping for Surgery. Aim for the chest, groin, or head in the Damage zone.png Damage Zone. Perform the steps in Opening a Surgical Site. Use the appropriate mechanism to mend the organ: Traumakit.png Advanced trauma kit for organic organs. Nanopaste.png Nanopaste for synthetic organs. Perform the steps in Closing a Surgical Site. GHETTO:

Traumakit.png ATK - Gauze 20% Cavity Surgery Putting things inside peoples' body cavities.

Maxiumum size of item that fits inside:

Head - tiny Abdomen - small Chest - normal Aim for the chest, abdomen or head in the Damage zone.png Damage Zone. Perform the steps in Opening a Surgical Site. Use the Drill.png surgical drill to prepare cavity. Insert the item inside. If it caused internal bleeding, use the FixOVein to fix it. If you decided not to put item inside, use Cautery.png cautery to mend the cavity wall. Perform the steps in Closing a Surgical Site. GHETTO:

Drill.png Drill - Pen 75%, metal rods 50% Cautery.png Cautery - Cigarette 75%, lighter 50%, welder 25% Implant/Shrapnel Removal Removing implants from the body. Also removal of things from body cavities.

(Optional) Complete Prepping for Surgery. Aim for the implant location on the Damage zone.png Damage Zone. Perform the steps in Opening a Surgical Site. Use your Hemostat.png hemostat to extract the implant. This may take several tries. Note that there is a brief period where nothing happens after you click on the patient with the hemostat. Use this time to click on the patient multiple times to queue up multiple attempts at removing implants. Perform the steps in Closing a Surgical Site. GHETTO:

Hemostat.png Hemostat - Wirecutters 75%, fork 20% Organ Removal/Transplantation Removal and re-insertion of organs. This also applies to Prosthetic organs, and K'ois.

(Optional) Complete Prepping for Surgery. Aim for the organ's location in the Damage zone.png Damage Zone. (Head for brain/eyes, chest for heart/lungs, groin for appendix/kidney/liver) Perform the steps in Opening a Surgical Site. REMOVING an organ:

Use the Scalpel.png scalpel. This will open up a window asking you which organ you'd like to cut loose. Use the Hemostat.png hemostat. This will open up a window asking you which loose organ you'd like to remove. Dispose of the organ or store it in a freezer. TRANSPLANTING an organ:

Click the patient with the organ you intent to transplant. Use the Fixovein.png FixOVein to reconnect the organ to the body. Administer an Traumakit.png advanced trauma kit or use Nanopaste.png nanopaste if required to repair any damage received during transport/transplantation. Perform the steps in Closing a Surgical Site. GHETTO:

Scalpel.png Scalpel - Kitchen knife 75%, glass shard 50% Hemostat.png Hemostat - Wirecutters 75%, fork 20% Fixovein.png Fix'O'Vein - Cable coil 75% Organs may become infected after transplantation. Do not transplant organic organs that are from a different species or blood type as the patient, otherwise they will be rejected and the patient will soon die.

Additionally, K'ois is located in the chest. Black K'ois is located in the head.

Head Reattachment Surgery Reattaching a severed head.

See limb replacement surgery.

Necrotic Limb Repair Fixing limb necrosis mostly caused by septic infections. NOT necrotic organ repair.

(Optional) Complete Prepping for Surgery. Aim for the necrotic area in the Damage zone.png Damage Zone. Perform the steps in Opening a Surgical Site. Use the Scalpel.png scalpel to cut away the dead flesh. Use a Eyedropper.png dropper filled with Peridaxon to revive the necrotic limb. Perform the steps in Closing a Surgical Site. GHETTO:

Scalpel.png Scalpel - Kitchen knife 75%, glass shard 50% Eyedropper.png Dropper - Bottle/beaker 75%, spray bottle/bucket 50% Autopsy Examination of cadavers to find cause of death. See autopsy prodedures for more information.

Place cadaver onto the operating table. Scan the cadaver with a Health Analyer to find injured locations. Aim for the patient's affected area in the Damage zone.png Damage Zone. Cut the skin with your Scalpel.png scalpel (the chest may require two cuts). For Vaurca, use the Drill.png surgical drill instead. Use the Autopsy scanner.png autopsy scanner to scan the area. Repeat scalpel and scan procedure for all affected areas. Right click the Autopsy scanner.png autopsy scanner to print out autopsy data. Hardsuit Removal Cutting the seals on a sealed hardsuit so that it can be removed from the person wearing it.

Place the patient or cadaver onto the operating table. Cleanliness is not required. Aim for the chest in the Damage zone.png Damage Zone. Use a plasma cutter, Welderon.gif welding tool, or Saw.png circular saw to slice the hardsuit seals open. This may take several attempts. Pull the hardsuit control module off. Extracting organs from detached body parts Removing internal organs from parts of the body, such as heads, which are no longer attached to the rest.

Place the body part on any surface, or hold it in hand. Use the Scalpel.png scalpel to cut the body part open. For Vaurca, use the Drill.png surgical drill instead. Use the Retractor.png retractor to crack the body part open. Use the Hemostat.png hemostat to extract an organ. Repeated applications will yield further organs, until all organs present in the body part have been removed. Pre-Cyborgification Procedure Preparing a brain for cyborgification. This ain't rocket surgery!

(Optional) Complete Prepping for Surgery. Aim for the head. Perform the steps in Opening a Surgical Site. Use the Drill.png surgical drill on the brain to prepare it for Man-Machine-Interface compatibility.. REMOVING the brain: Perform the steps in Organ Removal/Transplantation. KEEPING the brain: Perform the steps in Closing a Surgical Site.