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All surgery requires the set of medical tools in the [[Operating Theatre]], along with a table (a surgical table gives no negative results). For the most part, only [[medical doctor]]s and the [[Chief Medical Officer]] can perform advanced surgery.
All surgery requires a set of medical tools, typically found in the [[Operating Theatre]], along with an operating table.  
===Surgical Tools===
= Surgical Tools =
Surgical tools can be found in surgery and robotics. Additionally, cargo can make them with their autolathe. It is best to keep surgical tools in their proper places so your fellow crewmembers can use them when they need them.
[[Medical_items#Surgical_Tools|Information about every tool used in surgery can be found here.]]
'''The following are the standard surgical tools most doctors will need:'''
*[[File:MMI.png]]'''MMI''' (For Robotics)
*[[File:Drill.png]]'''Surgical drill'''
*[[File:Scalpel.png]]'''Scalpel'''
*[[File:Saw.png]]'''Circular saw'''
*[[File:Hemostat.png]]'''Hemostat'''
*[[File:Cautery.png]]'''Cautery'''
*[[File:Retractor.png]]'''Retractor'''
*[[File:Drapes.png]]'''Drapes'''


== How to set internals ==
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.
To set internals and make your patient sleep you need to first remove any item from their back. Once done you need to put a breath mask on them and then put the anesthetic tank onto their back. Once it is on their back you can put them on internals by clicking "set internals" on the same menu you used to put the tank on their back. Once done your patient should fall asleep.  Remember to use a proper anesthetic mixture, as pure N2O will suffocate the patient.


== Eye Surgery ==


'''Fixing Blindness'''
= Beginning of any Operation =
Step 1: [[File:OpTable.gif|Operating Table]] Place the patient onto the '''operating table''' (80%). Do this by selecting '''grab''' [[File:Intent_Grab.png]] intent. Then click the patient twice in a row until you have an aggressive grab. Then left click the operating table to place the patient on it. Switch back to '''help''' [[File:Intent_Help.png]] intent or your surgery will fail.
* If there is no operating table, you can use: '''[[Machines#Lifeform_Stasis_Unit|Stasis bed]]''' (80%), '''any table''' (60%), '''any bed''' (50%), ask them to lie '''on the floor''' (30%). Chances of successfully completing every step will be reduced. To perform advanced surgeries an operating table is required.
Step 1.2: [[File:N2Otank.png|Sleeping Agent]] (Optional) Use a '''tank of anesthetic''' and a '''breath mask''' to make your patient sleep.


Step 1: Place the patient onto the operating table.
Step 2: [[File:Drapes.png|Drapes]] [[File:Bedsheet.png|Bedsheet]] Place '''drapes''' or '''bedsheet''' over the part of body you are operating.


Step 1.5: Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
Step 1.2 [[File:LongIslandIcedTea.png|Ethanol]] (Optional) Splash on, spray or apply a patch with [[Guide_to_chemistry#Miner's Salve|'''Miner's Salve''']] (+10%), [[Guide_to_chemistry#Sterilizine|'''Sterilizine''']] (+20%), [[Guide_to_Drinks#Drinks|'''alcoholic drinks''']] (up to +46%), or [[Beekeeping#The_fruits_of_our_labour|'''Honey''']] (+60%) to improve your success chance.
*The stronger the alcohol, the more effective! The formula is: 0.1*(booze power/65). For example: Ethanol gives +10% success chance, Manly Dorf +15%, Bacchus' Blessing +46%.
Step 3: [[File:Intent_Help.png|Help Intent]] Switch to '''help intent'''. Pro tip: Disarm intent will fail every surgery step.


Step 2: [[File:Drapes.png]] Place '''drapes''' over the patient's eyes.
Step 4: [[File:Hud-target.gif|Target]] '''Aim''' at the appropriate body part (important!).


Step 3: [[File:Scalpel.png]] Aim for the patient's eyes, and cut the skin around them with your '''scalpel'''.
Step 5: [[File:Scalpel.png|Scalpel]] '''Do the surgery''' (see the steps below!). Afterwards congratulate the patient and kick them out.


Step 4: [[File:Retractor.png]] Use your '''retractor''' to lift up the eyes.


Step 5: [[File:Hemostat.png]] Use your '''hemostat''' to stop any potential bleeding.
'''To abort a surgery, hold a cautery in one hand and drapes in the other, and use the drapes on the patient.'''
== Self-Surgery ==
You can perform certain surgeries on yourself, albeit with major chances of failing, so it is better to put all the chances on your side and operate on yourself with appropriate tools, on an operating bed and using sterilizine, if you don't want to fail the same steps 20 times.
Not every surgeries can be performed as self-surgery, a good rule of thumb is that operations on the chest and head that require sawing the bone off can't be done. You can't augment your limbs either, although you can amputate them and then replace them with cyborg appendages.
But there is an exception to this. If you do surgery on robotic parts, be it because you're an IPC or that you're already augmented, you can do every surgeries on these limbs. And without much more chances of failling compared to normal surgeries.
= Procedures requiring no research or computer =
== Organ Manipulation  ==
This surgery covers operations to remove/insert organs (brain, heart, appendix), '''lizard/cat tails''', cyber implants and alien embryos.<br>The body part to target depends on which procedure you want to do.<br>See below for details about each procedure.
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3 (Head/Chest only): [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%)
|-
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 6 '''Remove''': [[File:Hemostat.png|Hemostat]] '''Hemostat''': remove something.||[[File:Crowbar.png|Crowbar]] (55%)
|-
|Step 6 '''Insert''': [[File:Hud-hands.gif|Hands]] '''Hands''': insert something.
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}


Step 6: [[File:Hemostat.png]] Use '''hemostat''' again to fix the patient's eyes.


Step 7: [[File:Cautery.png]] Use your '''cautery''' to seal the wound.
=== Ordinary organs that require Organ Manipulation ===
These organs are present in every normal human, and can be removed or transferred through the [[#Organ_Manipulation|Organ Manipulation]] surgery type.
==== Brain [[File:Brain.png|Brain]][[File:Alien_brain.png|Alien brain]] ====
The source of consciousness, and where the player actually resides. Removing the brain from a body will make it 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.


Step 8: Wake up your patient, congratulate them on their new vision.
[[Changeling]]s' brains are vestigial, and they can survive without them. Beheading a changeling will not prevent one from reviving.


== Brain Surgery ==
[[File:Hud_target_head.gif]] '''Target: Head'''


'''The nerds next door may be doing rocket science, but hey, it's not exactly ''brain surgery''.'''
'''Note:''' Brains can also be removed by beheading the target and using a sharp object on the head to extract the brain.


Step 1: Place the patient onto the operating table.
'''Note:''' There's also a non-surgery method to put a brain back in:


Step 1.5: Use a tank of anesthetic and a medical mask to make your patient sleep. (Optional)
Step 1: [[File:OpTable.gif|Operating Table]] Place the patient onto the operating table.


Step 2: [[File:Drapes.png]] Place '''drapes''' over the patient's head.
Step 2: [[File:Brain.png|Brain]] Cram their brain back into their skull.


Step 3: [[File:Scalpel.png]] Aim for the patient's head with your '''scalpel''' to cut back the flesh.
Step 3: [[File:Clone.gif|Cloning Pod]] Usually, you take the body to be cloned.


Step 4: [[File:Hemostat.png]] Clamp bleeders with the '''hemostat''' (or use wirecutters).


Step 5: [[File:Retractor.png]] Retract tissue with '''retractor'''.
==== Heart [[File:Heart.png]] ====
[[File:Hud_target_chest.gif]] '''Target: Chest'''


Step 6: [[File:Saw.png]] Cut the spine with your '''saw'''.
Required for basic survival, removing it will cause a heart attack, dealing huge amounts of oxygen damage until a new, beating, heart is inserted, or death. This can be delayed with [[epinephrine]], if you need more time.


Step 7: [[File:Hemostat.png]] Extract the brain with the '''hemostat''' (or use a crowbar).
On their own, hearts only beat for a short time when removed from a living body. To get a heart beating again, click on it while it's in your hand.


Step 8: [[File:MMI.png]] Deal with the brain, typically by putting it in an '''MMI''' and then giving it to a roboticist.
Heart attacks can also be induced by [[Initropidril]], and a heart attack may continue if you insert a still heart in a patient. In either case, to restore the heart to normal functionality, the patient needs to either be defibrillated or receive an electric shock.
==== Eyes [[File:Eyes.png]] ====
They're required for sight. Removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.


Step 9: [[File:Morgue.png]] Morgue the body.
[[File:Hud_target_eyes.gif]] '''Target: Eyes'''


'''Putting a brain back in'''


Step 1: Place the patient onto the operating table.
==== Ears[[File:Ears.png]] ====
Required for hearing. Removing them will make the patient deaf.  


Step 2: Cram their brain back into their skull
[[File:Hud_target_head.gif]] '''Target: Head'''


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


== Implant Removal ==
==== Liver [[File:Liver_organ.png]] ====
Required for processing [[Guide_to_chemistry|reagents]]. Removing the liver will cause the patient to take heavy toxin damage.


Step 1: Place the patient onto the operating table.
[[File:Hud_target_chest.gif]] '''Target: Chest'''


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


Step 2: [[File:Drapes.png]] Place '''drapes''' over patient's chest.
==== Lungs [[File:Lungs.png]] ====
Required for breathing. Removing the lungs will cause the patient to suffocate, regardless of air or internals. Some [[Guide_to_races|species]] have mutant lungs that don't need air: transplanting them onto an breathing race will transfer this property.


Step 3: [[File:Scalpel.png]] Aim for the patient's chest with your '''scalpel''' to cut back the flesh.
[[File:Hud_target_chest.gif]] '''Target: Chest'''


Step 4: [[File:Hemostat.png]] Clamp bleeders with your '''hemostat'''.


Step 5: [[File:Retractor.png]] Retract skin with your '''retractor'''.
==== Stomach [[File:Stomach_organ.png]] ====
Required for digesting food.  


Step 6: [[File:Hemostat.png]] Extract the implant with your '''hemostat'''.
[[File:Hud_target_chest.gif]] '''Target: Chest'''


Step 7: [[File:Cautery.png]] Close the wound with '''cautery'''.


== Appendectomy ==
==== Tongue [[File:Tongue.png]] [[File:Ltongue.png]] ====
Affects speech. Lacking a tongue will make speech very hard to comprehend, while mutant tongues such as lizards' or flypeoples' will give the patient the race's speech quirks. [[Abductor]]s' tongues carry over their telepathy, but they prevent normal speech.


'''If it's useless, tear it out'''
[[File:Hud_target_mouth.gif]] '''Target: Mouth'''


Step 1: Place the patient onto the operating table.


Step 1.5: Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
==== Appendix [[File:Appendix.png|Appendix]][[File:Appendix_inflamed.png|Inflamed appendix]] ====
Removing it cures appendicitis and prevents it in the future, too.


Step 2: [[File:Drapes.png]] Place '''drapes''' over the patient's groin.
[[File:Hud_target_crotch.gif]] '''Target: Groin'''
=== Other organs that require Organ Manipulation ===
There are also non-natural organs which can be added to give bonuses or to harm the patient in a few cases.
==== Cybernetic Implants [[File:Chest_implant.png]][[File:Brain_implant.png]][[File:Eye_implant.png]][[File:Toolset_arm_implant.png|link=Special:FilePath/Toolset_arm_implant.png]] ====
These offer benefits to the patient at the cost of being very vulnerable to EMPs, with malfunctions ranging from eye-flashing to heart attacks. Cybernetic implants always require the [[#Organ_Manipulation|Organ Manipulation]] type surgery, even for arms. Cybernetic implants can be printed by [[Robotics]] or the [[medbay]] techfab after research.  


Step 3: [[File:Scalpel.png]] Aim for the patient's groin, and cut the skin with your '''scalpel'''.
[[File:Hud_target_chest.gif]][[File:Hud_target_head.gif]][[File:Hud_target_eyes.gif]] '''Target: Chest/Head/Eyes/Arms'''
==== Cybernetic Organs [[File:Cybernetic_heart.gif]] [[File:Cybernetic_liver.png]] [[File:Cybernetic_lungs.png]] [[File:Robotic_eyes.png]] ====
Cybernetic organs replace organs entirely. You need to remove the corresponding organ first to make room for the cybernetic organ. They are vulnerable to EMPs. Cybernetic organs can be printed by [[Robotics]] or the [[medbay]] techfab after research.  


Step 4: [[File:Hemostat.png]] Use your '''hemostat''' to clamp any bleeders.
[[File:Hud_target_chest.gif]][[File:Hud_target_eyes.gif]] '''Target: Chest/Eyes'''
==== Xenomorph Embryo [[File:Facehugger.png|Facehugger]][[File:Larva.png|Larva]] ====
An alien larva growing inside the patient. If not removed quickly enough, it will gib the patient and try to escape, growing into a dangerous [[Xenomorph]].


Step 5: [[File:Retractor.png]] Use your '''retractor''' to open the incision.
[[File:Hud_target_chest.gif]] '''Target: Chest'''


Step 6: [[File:Scalpel.png]] Use your '''scalpel''' to sever the appendix.


Step 7: [[File:Hud-hands.gif]] Use your '''BARE HANDS''' to pull out the appendix.
==== Romerol Tumor ====
A latent infection in the patient's head, caused by [[Syndicate Items#Romerol|Romerol]]. If the patient dies while affected by Romerol, he will eventually rise as an aggressive [[Guide to races#Romerol Zombie|Zombie]]. This will repeat as long as the infection lasts; removing it surgically, cutting the head off, or gibbing the corpse will prevent resurrection.


Step 7.5: Dispose of the newly extracted appendix / eat the appendix / force feed it to the patient. (Optional)
Romerol is infective, and anyone hit by a zombie while unprotected will also acquire a Romerol Tumor.


Step 8: [[File:Cautery.png]] Cauterize the wound with the '''cautery'''.
[[File:Hud_target_head.gif]] '''Target: Head'''
== Prosthesis Organ Manipulation ==
[[#Augmentation|Augmented]] limbs have special surgery steps for [[#Organ_Manipulation|Organ Manipulation]] that are completed with mechanical tools. '''Unlike all other procedures, this can be performed on yourself with self-surgery'''.  


Step 9: Wake up your patient and congratulate them on overcoming appendicitis!


== Xenomorph Removal ==
[[File:Hud-target.gif|Target]] '''Target: Head, chest, groin, arms'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Screwdriver_tool.png|Screwdriver]] '''Screwdriver''': unscrew the shell.||[[File:Scalpel.png|Scalpel]] (75%) [[File:Knife.png|Kitchen Knife]] (50%) Any other sharp item (30%)
|-
|Step 2: [[File:Hud-hands.gif|Hands]] '''Hands''': open the hatch.
|-
|Step 3: [[File:Wrench.png|Wrench]] '''Wrench''' (chest and head only): unwrench the bolts.||[[File:Retractor.png|Retractor]] (10%)
|-
|Step 4: [[File:Multitool.png|Multitool]] '''Multitool''': prepare electronics.||[[File:Hemostat.png|Hemostat]] (10%)
|-
|Step 5: [[File:Hemostat.png|Hemostat]] '''Hemostat''': manipulate organs/remove implant.||[[File:Crowbar.png|Crowbar]] (65%)
|-
|Step 6: [[File:Wrench.png|Wrench]] '''Wrench''' (chest and head only): wrench the bolts.||[[File:Retractor.png|Retractor]] (10%)
|-
|Step 7: [[File:Screwdriver_tool.png|Screwdriver]] '''Screwdriver''': screw the shell.||[[File:Scalpel.png|Scalpel]] (75%) [[File:Knife.png|Kitchen Knife]] (50%) Any other sharp item (30%)
|}
== Alien Organ Manipulation ==
Used to remove or add organs from [[Xenos]].
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%)
|-
|Step 2: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 3: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 4: [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%)
|-
|Step 5 '''Remove''': [[File:Hemostat.png|Hemostat]] '''Hemostat''': remove something.||[[File:Crowbar.png|Crowbar]] (55%)
|-
|Step 5 '''Insert''': [[File:Hud-hands.gif|Hands]] '''Hands''': Insert something.
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Lobectomy ==
This surgery is an extended organ manipulation, cutting open the chest cavity and removing a disfunctional lobe within the [[Guide_to_medicine#Organ_damage|lungs]]. This restores health to the [[Guide_to_medicine#Organ_damage|lungs]], and makes them operable, if they weren't before. Be warned, however, that this surgery can only be done once per set of lungs. Can only be performed if the patient's lungs are above 60 damage, which is a tad past severe damage thresholds. Do NOT confuse this surgery with lobotomy!


'''GET IT OUT OF ME!'''
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3 [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
|-
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': excise the damage lung node. (95%)||[[File:Sword.gif|Energy Sword]] (45%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (25%) 
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Coronary Bypass ==
This surgery is an extended organ manipulation, cutting open the chest cavity and grafting a bypass onto the patient's [[Guide_to_medicine#Organ_damage|heart]]. This restores health to the heart, and makes it operable, if it was not before. Be warned, however, that this surgery can only be done once per heart, and that incising the heart and attaching the graft are not guaranteed successes. Keep bandages on hand in the event of failing the step, which will result in massive amounts of bleeding. Can only be performed if the heart has more than 60 damage (tad past severe damage threshold).


Step 1: Place the patient onto the operating table.
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3 [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
|-
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': incise the heart. (90%)||[[File:Sword.gif|Energy Sword]] (45%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (25%) 
|-
|Step 6 [[File:Hemostat.png|Hemostat]] '''Hemostat''': attach heart graft. (90%)||[[File:Wirecutters.png|Wirecutters]] (35%) [[File:Package_Wrapper.png|Package Wrap]] (15%) [[File:CableCoils.png|Cable]] (5%)
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Hepatectomy ==
Removes damaged parts of the liver so that the liver may regenerate properly. A [[Guide_to_medicine#Organ_table|liver]] healing surgery, similar to Coronary Bypass and Lobectomy. This liver surgery only shows up as an option when liver damage is above 50 and the liver itself is not failing.


Step 1.5: Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3 [[File:Saw.png|Circular Saw]] '''Circular Saw''': saw through bones.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
|-
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp the bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': incise. (90%)||[[File:Sword.gif|Energy Sword]] (45%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (25%) 
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': remove damaged liver section. (95%)||[[File:Sword.gif|Energy Sword]] (65%) [[File:Knife.png|Kitchen Knife]] (45%) [[File:Shard.png|Shard]] (35%) 
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
Failing the last scalpel step will deal damage to the liver.
== Filter Blood ==
Removes 22% of reagents from the patient's bloodstream. Doesn't work if the patient is a husk or has no reagents in their system.


Step 2:[[File:Drapes.png]] Place '''drapes''' over the patient's chest.
[[File:Hud_target_torso.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 4: [[File:Blood_filter.png|Blood_Filter]] '''Blood filter''': Filter blood (95%). Automatically repeatable until no reagents remain.
|-
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Amputation ==
Sever a limb from the torso. Tails are handled under [[#Organ_Manipulation|Organ Manipulation]] (groin).


Step 3:[[File:Scalpel.png]] Use your '''scalpel''' to cut through the chest.
[[File:Hud-target.gif|Target]] '''Target: Head, legs, or arms'''
{|
| style="width: 400px" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 3: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 4: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%)
|-
|Step 5: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 6: [[File:Scalpel.png|Scalpel]] '''Scalpel''' or [[File:Saw.png|Circular Saw]] '''Circular Saw''': sever the limb.||[[File:Chainsaw.gif|Chainsaw]] (80%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Hatchet.png|Hatchet]] (40%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (80%)
|}


Step 4:[[File:Retractor.png]] Use your '''retractor''' to retract the skin.


Step 5:[[File:Saw.png]] Use your '''saw''' to cut through the chest.
== Prosthetic Replacement ==
Replace a severed limb with either a normal or a robotic limb.


Step 6:[[File:Hemostat.png]] Use your '''hemostat''' to pull out the larva.
[[File:Hud-target.gif|Target]] '''Target: Head, legs or arms'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|colspan="2"|Step 0: '''Acquire''' the required limb.
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 3: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|colspan="2"|Step 4: '''Limb/Cyborg limb''': replace the limb.
|-
|colspan="2"|Step 4(Alternative): '''Chainsaw/Synthetic Arm Blade''': replace the limb with the chosen weapon.
|}


Step 7:[[File:Cautery.png]] Close the wound with '''cautery'''.


Step 8: Congratulations! Your patient lives!
== 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.<br> Robot limbs are tougher. They need welding to "heal" brute damage and wires for burn damage, and cannot be otherwise healed. EMP pulses will hurt augmented humans.
[[File:Cyborg_head.png|right|thumb|Cyborg head]][[File:Cyborg_torso.png|right|thumb|Cyborg torso]][[File:Cyborg_left_arm.png|right|thumb|Cyborg arm]]
''We can rebuild him. We have the technology.''


== Lipoplasty ==
[[File:Hud-target.gif|Target]] '''Target: Head, chest, legs or arms'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|colspan="2"|Step 0: '''Create''' the '''cyborg limb(s)''' using an '''Exosuit Fabricator'''.
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 3: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 4: '''Cyborg limb''': augment the limb.
|}
== Cavity Implant ==
Implant/Remove an object in the chest. Tiny and small items can be implanted. Implanting a flashlight allows the patient to toggle it on or off. Implanting grenades is also often done. You can only have one cavity implant at a time.
[[File:Flashlight.png|right|thumb|Flashlight is commonly implanted]]
[[File:Hud_target_torso.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 3: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|colspan="2"|Step 5: [[File:Hud-hands.gif|Hands]] Place an item in the cavity or use your '''hands''' to check for items in the cavity. Repeatable.
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Implant Removal ==
Extracts mindshield, tracking, chemical, traitor, explosive implants and such. If you don't have an empty implant case in your other hand, the implant will be ruined on extraction!
[[File:Implant_Case.png|right|thumb|Removes this]]
[[File:Hud_target_torso.gif]] '''Target: Chest'''
{|
| style="width: 420px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 3: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''' and '''Empty Implant Case''': extract the implant.||[[File:Crowbar.png|Crowbar]] (65%)
|-
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Dental Implant ==
This allows you to insert pills/patches into a tooth cavity, allowing you to pop it any time to ingest it. This works for both stimulants and suicide pills.


'''Why did I eat three whole pizzas?'''
[[File:Hud_target_mouth.gif]] '''Target: Mouth'''
{|
| style="width: 400px;" |'''Procedure'''||Ghetto Analogues'''
|-
|Step 1: [[File:Drill.png|Surgical Drill]] '''Surgical Drill''': Drill a hole in a tooth.||[[File:Mining_Drill.png|Mining Drill]] (60%) [[File:Exosuit_drill.png|Exosuit Drill]] (60%) [[File:Screwdriver_tool.png|Screwdriver]] (20%)
|-
|Step 2: [[File:Pill18.png|Pill]] '''Pill/Patch''': Insert a pill/patch.
|}


Step 1 - Place the patient onto the operating table.


Step 1.5 - Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
== Brain Recalibration ==
This procedure cures all '''severe''' and '''basic''' [[Guide to Traumas|traumas]] and reduces brain damage by a large amount. Failing step 5, however, causes hefty brain damage. (Note: this was previously known as 'brain surgery', but the term has been changed.)


Step 2 - Place '''drapes''' over the patient's chest.
[[File:Hud_target_head.gif]] '''Target: Head'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%)
|-
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Hemostat.png|Hemostat]] '''Hemostat''': fix brain. (85%)||[[File:Screwdriver_tool.png|Screwdriver]] (35%) [[File:Pen.png|Pen]] (15%)
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Eye Surgery ==
This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.


Step 3 - Use your '''scalpel''' to cut through the chest.
[[File:Hud_target_eyes.gif]] '''Target: Eyes'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%)[[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Hemostat.png|Hemostat]] '''Hemostat''': fix the patient's eyes.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Pen.png|Pen]] (25%)
|-
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': mend the incision.||[[File:Laser_gun.png|Laser]] (90%)[[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}


Step 4 - Clamp bleeders with the '''hemostat'''.


Step 5 - Slice up the fat with the '''saw'''.
== Removal of Embedded Objects ==
 
Extracts objects stuck in the body such as throwing stars or spears.
Step 6 - Remove the fat with the '''retractor'''
 
Step 7 - Close the wound with '''cautery'''.
 
Step 8 - Feed the patient his own fat as a lesson in vicious circles (Optional)


[[File:Hud-target.gif|Target]] '''Target: Head, chest, legs, or arms'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: '''Remove''': [[File:Hud-hands.gif|Hands]] '''Hands''': Remove object.
|}
== Plastic Surgery ==
== Plastic Surgery ==
If the patient's face is damaged and unrecognizable it restores it, otherwise it change the face and identity of the patient.


'''I need to disappear forever!'''
[[File:Hud_target_head.gif]] '''Target: Head'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Scalpel.png|Scalpel]] '''Scalpel''': alter the patient's appearance.||[[File:Knife.png|Kitchen Knife]] (50%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 4: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}


Step 1 - Place the patient onto the operating table.


Step 1.5 - Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
== Lipoplasty ==
 
Removes excess fat from the patient. Can only be selected if the patient is fat.  
Step 2 - Place '''drapes''' over the patient's head to prepare for plastic surgery.
[[File:Hud-hunger.gif|right|thumb]][[File:Meat.png|right|thumb|You get this]]
 
[[File:Hud_target_chest.gif]] '''Target: Chest'''
Step 3 - Use your '''scalpel''' to make an incision in the head.
{|
 
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
Step 4 - Use your '''retractor''' to retract the skin around the incision.
|-
 
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
Step 5 - Use your '''scalpel''' to alter the patient's appearance.
|-
 
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
Step 6 - Use your '''cautery''' to mend the incision you made.
|-
 
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut up the fat.||[[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%)
Step 7 - Send that stranger to the HoP to finish his induction to the witness relocation program.
|-
 
|Step 4: [[File:Retractor.png|Retractor]] '''Retractor''': remove the fat.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
== Gender Reassignment ==
|-
 
|Step 5: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
'''For when something other than xeno scum is trapped in your body'''
|}
 
== Revival ==
Step 1 - Place the <s>victim</s> patient onto the operating table.
The target is resurrected by this surgery. It works on any non-husked corpse with a head, '''even if it doesn't have a heart'''. If the body has sustained too much damage, it'll die immediately after the revival. You can circumvent this by applying [[Guide_to_chemistry#Synthflesh|synthflesh]] or performing [[#Tend_Wounds|Tend Wounds]] beforehand.  
 
Step 1.5 - Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
 
Step 2 - Place '''drapes''' over the patient's groin.
 
Step 3 - Use your '''scalpel''' to cut through the groin.
 
Step 4 - Clamp bleeders with the '''hemostat'''.
 
Step 5 - Use the '''scalpel''' to ''carefully'' reshape the patient's... body.
<font color=FFFFFF>***This actually applies their body-weight in estrogen or testosterone instantly, the '''scalpel''' acts as a giant syringe in this case.</font>
 
Step 6 - Close the wound with '''cautery'''.
 
Step 7 - Perform plastic surgery to acquire a new gender appropriate name (Optional)
 
== Cavity Implant ==
 
'''My god, he's a ticking timebomb!'''
 
Step 1 - Place the patient onto the operating table.
 
Step 1.5 - Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)
 
Step 2 - Place '''drapes''' over the patient's chest.
 
Step 3 - Use your '''scalpel''' to cut through the chest.
 
Step 4 - Clamp bleeders with the '''hemostat'''.
 
Step 5 - Use your '''retractor''' to pull back the skin.
 
Step 6 - Use your '''scalpel''' to cut through to a cavity.
 
Step 7 - Carefully place an item in the cavity / Use your '''hands''' to check for items in the cavity.
 
Step 8 - Close the wound with '''cautery'''.


==Ghetto Surgery==
[[File:Hud_target_head.gif]] '''Target: Head'''
It is possible to perform surgery with improvised items, but the chance to complete each step will greatly decrease.
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
|-
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 6: [[File:Defib.png|Defibrillator Paddles]] '''Revive''': revive the target (repeatable).||[[File:StunBaton.gif|Stun Baton]] (75%) [[File:Hybrid_taser.gif|Taser Shot]] (60%)
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Slime Core Removal ==
Remove core from slime. Step 2 must be repeated for every core if slime has several.
Mostly obsolete with existence of slime grinder, but still possible.
[[File:Slimegrey.png|right|thumb|A slime]]
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Hemostat.png|Hemostat]] '''Hemostat''': extract core.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|}


'''Generic steps:'''


Place drapes: '''drapes''', bedsheet
=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 (or [[Machines#Lifeform_Stasis_Unit|Stasis bed]]) with an adjacent and synced operating computer. <br>
The target is healed by this surgery, without any [[Guide_to_chemistry|chemicals]] being involved. Useful for healing dead bodies for [[#Revival|revival]]. This works on patients with clothes on, but it's only 55% as effective. <br>
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make a careful incision (does not cause damage or bleeding).||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Hemostat.png|Hemostat]] '''Tend bruises''': repair damage to the target (automatically repeats until fully healed).||[[File:Screwdriver_tool.png|Screwdriver]] (65%) [[File:Pen.png|Pen]] (55%)
|-
|Step 3: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
*Step 2 will heal at least 5 damage each time it's repeated, with an added bonus the more damaged the patient is. This the bonus healing becomes higher with higher tiers of research, ranging from (patient's damage / 75) to (patient's damage / 12.5). The bonus is much lower on dead patients.
*Without any research the heal is 5 damage plus a bonus from damage. ("bruises" and "burn" versions only).
*With '''Improved Wound-Tending Surgery''' researched and synced, it will heal 5 damage plus a higher bonus from damage ("bruises" and "burn" versions only).
*With '''Advanced Surgery''' researched and synced, it will heal 5 damage plus an even higher bonus from damage ("bruises" and "burn" versions only).
*With '''Advanced Surgery''' researched and synced, you'll be able to do the "mixture" version (tend physical wounds), which heals 3 brute and burn plus a bonus from damage, but the step takes much shorter time than the other two versions.
*With '''Experimental Surgery''' researched and synced, "tend physical wounds" will heal 3 brute and burn plus a better bonus from damage.
*With '''Alien Surgery''' researched and synced, "tend physical wounds" will heal 1 brute and burn plus a very high bonus from damage.
*Failing the hemostat step [[File:Hemostat.png|Hemostat]] will deal some of the damage it would have healed.
*You can hold a [[Health Analyzer]] in your other hand to see your patient's remaining wounds while treating them.


Make incision: '''scalpel''', kitchen knife (65%), shard (45%)


Clamp bleeders: '''hemostat''', wirecutters (60%), cable coil (15%)
If research was completed in the middle of surgery, you must restart the surgery to get the upgraded version.
==Dissection==
The dissection surgeries all share the same steps. They require an operating table (or [[Machines#Lifeform_Stasis_Unit|Stasis bed]]) with an adjacent operating computer. They can be upgraded by researching certain nodes, and then syncing the operating computer with research database. The procedure will deeply analyze the biology of a corpse (both humanoid and simple), and automatically add new findings to the research database. This generates research points for [[science]]. Does not work on living patients. Unlike other surgeries, even [[Cyborg|cyborgs]] can fail step 5.


Retract skin: '''retractor''', screwdriver (45%), wirecutters (35%)
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': perform dissection (can fail, repeatable).||[[File:Abductor_scalpel.png|Alien Scalpel]] (100%) [[File:Medborg.png|Cyborg Scalpel]] (75%) [[File:Laser_scalpel_scalpel.png|Laser Scalpel]] (60%) [[File:Scalpel.png|Scalpel]] (45%) [[File:Knife.png|Kitchen Knife]] (20%) [[File:Shard.png|Shard]] (10%)
|-
|Step 5: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
===Corpse Values===
This is how many research points a successful dissection will generate without upgrades.
{| class="wikitable" style="text-align: center;"
! scope="col" style='background-color:#BDC2FC;'|Corpse
! scope="col" style='background-color:#BDC2FC;'|Base Points
|-
|Monkey||250
|-
|Any simple mob||300
|-
|Human||500
|-
|Jellyperson||1000
|-
|Podperson||1000
|-
|Golem||1500
|-
|Zombie||1500
|-
|Abductor||2000
|-
|Xeno Adult||2500
|-
|Xeno Queen||5000
|-
|}
===Dissection Upgrades===
This is how much the above base points are multiplied by researching upgrades.
{| class="wikitable" style="text-align: center;"
! scope="col" style='background-color:#BDC2FC;'|Research Node
! scope="col" style='background-color:#BDC2FC;'|Surgery Name
! scope="col" style='background-color:#BDC2FC;'|Point Multiplier
|-
|None||Dissection||1
|-
|Advanced Surgery||Thorough Dissection||2
|-
|Experimental Surgery||Experimental Dissection||5
|-
|Alien Surgery||Extraterrestrial Dissection||10
|}
*If you fail step 5 you only get 1% of the points, but you can try again on the same corpse.
*If you dissect a corpse and later do an upgraded dissection on the same corpse, you will only get the point difference between the two versions.
*If no upgrades were made between dissections, you can't dissect the same corpse again for extra points.
= Advanced Surgery =
These surgeries require the '''Advanced Surgery''' research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Advanced surgeries can only be performed on an operating table (or [[Machines#Lifeform_Stasis_Unit|Stasis bed]]) with a connected operating computer.
== Lobotomy ==
Used to cure '''deep-rooted''' [[Guide to Traumas|brain traumas]]. This can cause a random, '''permanent''' trauma, or if lucky, a random '''special''' trauma which gives you rare powers. Requires the "Advanced Surgery" technology. <br>
[[File:Hud_target_head.gif]] '''Target: Head'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
|-
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Lobotomize''' (85%): perform the lobotomy procedure.||[[File:Knife.png|Kitchen Knife]] (35%) [[File:Shard.png|Shard]] (25%) [[File:Sword.gif|Energy Sword]] (55%) Any other sharp item (20%)
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
= Experimental Surgery =
These surgeries require the '''Experimental Surgery''' research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Experimental surgeries can only be performed on an operating table (or [[Machines#Lifeform_Stasis_Unit|Stasis bed]]) with a connected operating computer.


Close incision: '''cautery''', welding tool (70%), lighter (45%), match (20%)


Saw bone: '''circular saw''', hatchet (35%), butcher's cleaver (25%)
== Pacification ==
The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.<br> Requires the "Experimental Surgery" technology.


'''Plastic surgery:'''
[[File:Hud_target_head.gif]] '''Target: Head'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%) Any other sharp item (20%)
|-
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Hemostat.png|Hemostat]] '''Pacify''': rewire the target's brain.||[[File:Screwdriver_tool.png|Screwdriver]] (35%) [[File:Pen.png|Pen]] (15%)
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Vein Threading ==
The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the "Experimental Surgery" technology.


Reshape face: '''scalpel''', kitchen knife (50%), wirecutters (35%)
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': thread the veins
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Muscled Veins ==
Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology.


'''Xenomorph removal:'''
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': shape vein muscles
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== Nerve Splicing ==
Nerves are connected to each other multiple times, greatly reducing stun times. This caps stun times to 4 seconds. Requires the "Experimental Surgery" technology.


Xenomorph removal: '''hemostat''', spade (65%), minihoe (50%), crowbar (35%)
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': splice nerves
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}


'''Brain removal:'''


Extract brain:  '''hemostat''', crowbar (55%)
== 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.


'''Slime core removal:'''
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': ground nerves
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}


Extract core:  '''hemostat''', crowbar (100%)


'''Eye surgery:'''
== 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.


Fix eyes: '''hemostat''', screwdriver (45%), pen (25%)
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': reshape ligaments
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
== 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.


'''Gender reassignment:'''
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 5: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 6: [[File:Hud-hands.gif|Hands]] '''Hands''': reinforce ligaments
|-
|Step 7: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}


Reshape genitals:  '''scalpel''', hatchet (oh my God) (50%), wirecutters (35%)


'''Implant removal:'''
== 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 .<br> Note: The target must already be infected before you can initiate this surgery with the drapes. The target must be dosed with at least 5 units of [[Guide to chemistry#Virus Food|Virus Food]], [[Guide to chemistry#Formaldehyde|Formaldehyde]], and [[Guide to chemistry#Spaceacillin|Spaceacillin]] for the "Viral Bond" step to work. This surgery will not hide the virus icon from medical huds.
<br>Requires the "Experimental Surgery" technology.


Extract implant: '''hemostat''', crowbar (65%)
[[File:Hud_target_chest.gif]] '''Target: Chest'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 4: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 5: [[File:Cautery.png|Cautery]] '''Viral Bond''': force a symbiotic relationship.||[[File:Welder.png|Welder]] (50%) [[File:Lighter.png|Lighter]] (35%) [[File:Match.png|Match]] (30%)
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
= 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.


'''Lipoplasty:'''


Cut fat: '''circular saw''', hatchet (35%), butcher's cleaver (25%)
== Brainwashing ==
The target of this surgery, when successful, is bound to a primary goal you assign to them, you do so by writing the Objectives you want them to do in the Notes field (Step 5), after you are done they can see whatever you have added in their IC notes. They must follow these objectives, regardless of allegiance. This can be cured through brain recalibration or with a mindshield implant. Requires either the brainwashing disk, acquired through the [[Syndicate Items#Brainwashing_Surgery_Program|Syndicate Uplink]], or researching the "Alien Surgery" technology.


Remove fat: '''retractor''', screwdriver (45%), wirecutters (35%)
[[File:Hud_target_head.gif]] '''Target: Head'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%)
|-
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Hemostat.png|Hemostat]] (85%) '''Brainwash''': perform the brainwashing procedure. Failing will grant brain damage.||[[File:Wirecutters.png|Wirecutters]] (50%) [[File:Package Wrapper.png|Package Wrapper]] (35%) [[File:CableCoils.png|Cable Coil]] (15%)
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}




If you can't find an operating table, have no fear, you can fix someone up anywhere! Any table or bed will do, and even the floor if you have no other choice. It will reduce the chance of successfully completing a step, however.
== 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 [[Guide to chemistry#Zombie Powder|Zombie Powder]] or [[Guide to chemistry#Rezadone|Rezadone]] for the "Bionecrosize" step to work. Requires the "Alien Surgery" technology.


[[File:Hud_target_head.gif]] '''Target: Head'''
{|
| style="width: 400px;" |'''Procedure'''||'''Ghetto Analogues'''
|-
|Step 1: [[File:Scalpel.png|Scalpel]] '''Scalpel''': make an incision.||[[File:Knife.png|Kitchen Knife]] (65%) [[File:Shard.png|Shard]] (45%) [[File:Sword.gif|Energy Sword]] (75%) Any other sharp item (30%)
|-
|Step 2: [[File:Retractor.png|Retractor]] '''Retractor''': retract the skin.||[[File:Screwdriver_tool.png|Screwdriver]] (45%) [[File:Wirecutters.png|Wirecutters]] (35%)
|-
|Step 3: [[File:Saw.png|Circular Saw]] '''Circular Saw''': cut through the bone.||[[File:Chainsaw.gif|Chainsaw (arm-mounted)]] (65%) [[File:Fireaxe.png|Fire Axe]] (50%) [[File:Chainsaw.gif|Chainsaw (unmounted)]] (50%) [[File:Hatchet.png|Hatchet]] (35%) [[File:Butcherknife.png|Butcher's Knife]] (25%) [[File:Arm_blade.png|Changeling's Arm Blade]] (75%)
|-
|Step 4:[[File:Hemostat.png|Hemostat]] '''Hemostat''': clamp bleeders.||[[File:Wirecutters.png|Wirecutters]] (60%) [[File:Package_Wrapper.png|Package Wrap]] (35%) [[File:CableCoils.png|Cable]] (15%)
|-
|Step 5: [[File:Hemostat.png|Hemostat]] '''Bionecrosize''': perform the revival procedure.||[[File:Screwdriver_tool.png|Screwdriver]] (35%) [[File:Pen.png|Pen]] (15%)
|-
|Step 6: [[File:Cautery.png|Cautery]] '''Cautery''': seal the wound.||[[File:Laser_gun.png|Laser]] (90%) [[File:Welder.png|Welder]] (70%) [[File:Lighter.png|Lighter]] (45%) [[File:Match.png|Match]] (20%)
|}
[[Category:Guides]]
[[Category:Guides]]

Latest revision as of 20:20, 12 April 2024

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

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 (80%). Do this by selecting grab intent. Then click the patient twice in a row until you have an aggressive grab. Then left click the operating table to place the patient on it. Switch back to help intent or your surgery will fail.

  • If there is no operating table, you can use: Stasis bed (80%), any table (60%), any bed (50%), ask them to lie on the floor (30%). Chances of successfully completing every step will be reduced. To perform advanced surgeries an operating table is required.

Step 1.2: Sleeping Agent (Optional) Use a tank of anesthetic and a breath mask to make your patient sleep.

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

Step 1.2 Ethanol (Optional) Splash on, spray or apply a patch with Miner's Salve (+10%), Sterilizine (+20%), alcoholic drinks (up to +46%), or Honey (+60%) to improve your success chance.

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

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

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

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


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

Self-Surgery

You can perform certain surgeries on yourself, albeit with major chances of failing, so it is better to put all the chances on your side and operate on yourself with appropriate tools, on an operating bed and using sterilizine, if you don't want to fail the same steps 20 times. Not every surgeries can be performed as self-surgery, a good rule of thumb is that operations on the chest and head that require sawing the bone off can't be done. You can't augment your limbs either, although you can amputate them and then replace them with cyborg appendages. But there is an exception to this. If you do surgery on robotic parts, be it because you're an IPC or that you're already augmented, you can do every surgeries on these limbs. And without much more chances of failling compared to normal surgeries.

Procedures requiring no research or computer

Organ Manipulation

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

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


Ordinary organs that require Organ Manipulation

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

Brain BrainAlien brain

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

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

Target: Head

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

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

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

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

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


Heart

Target: Chest

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

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

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

Eyes

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

Target: Eyes


Ears

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

Target: Head


Liver

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

Target: Chest


Lungs

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.

Target: Chest


Stomach

Required for digesting food.

Target: Chest


Tongue

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.

Target: Mouth


Appendix AppendixInflamed appendix

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

Target: Groin

Other organs that require Organ Manipulation

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

Cybernetic Implants File:Toolset arm implant.png

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

Target: Chest/Head/Eyes/Arms

Cybernetic Organs

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

Target: Chest/Eyes

Xenomorph Embryo FacehuggerLarva

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

Target: Chest


Romerol Tumor

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

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

Target: Head

Prosthesis Organ Manipulation

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


Target Target: Head, chest, groin, arms

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

Alien Organ Manipulation

Used to remove or add organs from Xenos.

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

Lobectomy

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

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).

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.

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 5: Scalpel Scalpel: remove damaged liver section. (95%) Energy Sword (65%) Kitchen Knife (45%) Shard (35%)
Step 7: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

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

Filter Blood

Removes 22% of reagents from the patient's bloodstream. Doesn't work if the patient is a husk or has no reagents in their system.

File:Hud target torso.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%). Automatically repeatable until no reagents remain.
Step 5: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)

Amputation

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

Target Target: Head, legs, or arms

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


Prosthetic Replacement

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

Target Target: Head, legs or arms

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


Augmentation

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

Cyborg head
Cyborg torso
Cyborg arm

We can rebuild him. We have the technology.

Target Target: Head, chest, legs or arms

Procedure Ghetto Analogues
Step 0: Create the cyborg limb(s) using an Exosuit Fabricator.
Step 1: Scalpel Scalpel: make an incision. Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Hemostat: clamp bleeders. Wirecutters (60%) Package Wrap (35%) Cable (15%)
Step 3: Retractor Retractor: retract the skin. Screwdriver (45%) Wirecutters (35%)
Step 4: Cyborg limb: augment the limb.

Cavity Implant

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

Flashlight is commonly implanted

File:Hud target torso.gif Target: Chest

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

Implant Removal

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

Removes this

File:Hud target torso.gif Target: Chest

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

Dental Implant

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

Target: Mouth

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


Brain Recalibration

This procedure cures all severe and basic traumas and reduces brain damage by a large amount. Failing step 5, however, causes hefty brain damage. (Note: this was previously known as 'brain surgery', but the term has been changed.)

Target: Head

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

Target: Eyes

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


Removal of Embedded Objects

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

Target Target: Head, chest, legs, or arms

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

Plastic Surgery

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

Target: Head

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


Lipoplasty

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

You get this

Target: Chest

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

Revival

The target is resurrected by this surgery. It works on any non-husked corpse with a head, even if it doesn't have a heart. If the body has sustained too much damage, it'll die immediately after the revival. You can circumvent this by applying synthflesh or performing Tend Wounds beforehand.

Target: Head

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

Slime Core Removal

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

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


Upgradable Surgery

These surgeries are available roundstart but can be upgraded to better or different versions by researching certain nodes and then 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 (or Stasis bed) 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.
Target: Chest

Procedure Ghetto Analogues
Step 1: Scalpel Scalpel: make a careful incision (does not cause damage or bleeding). Kitchen Knife (65%) Shard (45%) Energy Sword (75%) Any other sharp item (30%)
Step 2: Hemostat Tend bruises: repair damage to the target (automatically repeats until fully healed). Screwdriver (65%) Pen (55%)
Step 3: Cautery Cautery: seal the wound. Laser (90%) Welder (70%) Lighter (45%) Match (20%)
  • Step 2 will heal at least 5 damage each time it's repeated, with an added bonus the more damaged the patient is. This the bonus healing becomes higher with higher tiers of research, ranging from (patient's damage / 75) to (patient's damage / 12.5). The bonus is much lower on dead patients.
  • Without any research the heal is 5 damage plus a bonus from damage. ("bruises" and "burn" versions only).
  • With Improved Wound-Tending Surgery researched and 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 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.

Dissection

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

Target: Chest

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

Corpse Values

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

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

Dissection Upgrades

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

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

Advanced Surgery

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

Lobotomy

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

Experimental Surgery

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


Pacification

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

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.

Target: Chest

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

Muscled Veins

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

Target: Chest

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

Nerve Splicing

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

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.

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.

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.

Target: Chest

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


Viral Bonding

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

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 them, you do so by writing the Objectives you want them to do in the Notes field (Step 5), after you are done they can see whatever you have added in their IC notes. They must follow these objectives, regardless of allegiance. This can be cured through brain recalibration or with a mindshield implant. Requires either the brainwashing disk, acquired through the Syndicate Uplink, or researching the "Alien Surgery" technology.

Target: Head

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


Necrotic Revival

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

Target: Head

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