Surgery

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

Surgical Tools

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

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

Beginning of any Operation

Step 1: Place the patient onto the operating table.

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

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

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

Step 3: Switch to help intent.

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

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

Surgical Procedures

Organ Manipulation

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

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3(Head/Chest only): Circular Saw: saw through bones.	(35%) (25%) (75%)
Step 4: Hemostat: clamp the bleeders.	(60%) (15%)
Step 5: Scalpel: make an incision.	(65%) (45%)
Step 6 Remove: Hemostat: remove something.	(55%)
Step 6 Insert: Hands: insert something.
Step 7: Cautery: seal the wound.	(70%) (45%) (20%)

(Alien Organ Manipulation variant for xenos)

Procedure	Ghetto Analogues
Step 1: Circular Saw: saw through the bone.	(35%) (25%) (75%)
Step 2: Scalpel: make an incision.	(65%) (45%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Circular Saw: saw through the bone.	(35%) (25%) (75%)
Step 5 Remove: Hemostat: remove something.	(55%)
Step 5 Insert: Hands: Insert something.
Step 6: Cautery: seal the wound.	(70%) (45%) (20%)

• Appendix

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

Target: Groin

• Heart

Target: Chest

• Lungs

Target: Chest

• Tongue

Target: Mouth

• Cybernetic Implant

Target: Chest/Head/Eyes/Arms

• Xenomorph Embryo

Target: Chest

• Brain

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: Place the patient onto the operating table.

Step 2: Cram their brain back into their skull.

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

Cavity Implant

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

Flashlight is commonly implanted

Target: Chest

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

Eye Surgery

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

Target: Eyes

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

Dental Implant

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

Target: Mouth

Procedure

Step 1: Surgical Drill: Drill a hole in a tooth.

Step 2: Pill/Patch: Insert a pill/patch.

Gender Reassignment

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

Target: Crotch

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

Implant Removal

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

Removes this

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%)
Step 2: Hemostat: clamp bleeders.	(60%) (15%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Hemostat: extract the implant.	(65%)
Step 5: Cautery: seal the wound.	(70%) (45%) (20%)

Limb Augmentation

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

Cyborg head

Cyborg torso

Cyborg arm

We can rebuild him. We have the technology.

Target: Head, chest, legs or arms

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

Prosthetic Replacement

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

Target: Head, legs or arms

Procedure	Ghetto Analogues
Step 0: Acquire the required limb.
Step 1: Scalpel: make an incision.	(65%) (45%)
Step 2: Hemostat: clamp bleeders.	(60%) (15%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Cyborg limb: replace the limb.

Lipoplasty

You get this

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%)
Step 2: Hemostat: clamp bleeders.	(60%) (15%)
Step 3: Circular Saw: cut up the fat.	(35%) (25%)
Step 4: Retractor: remove the fat.	(45%) (35%)
Step 5: Cautery: seal the wound.	(70%) (45%) (20%)

Plastic Surgery

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

Target: Head

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3: Scalpel: alter the patient's appearance.	(50%) (35%)
Step 4: Cautery: seal the wound.	(70%) (45%) (20%)

Slime Core Removal

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

A slime

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

Tail Removal

The lizard cannot wag if you disable its tail.

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(35%) (25%) (75%)
Step 2: Cautery: seal the wound.	(70%) (45%) (20%)

Tail Attachment

WHAT HAS SCIENCE DONE?

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