Surgery

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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. Do this by selecting grab 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 Intent Help.png intent or your surgery will fail.

  • If there is no operating table, you can use: Stasis bed (-10%), any table (-20%), any bed (-30%), ask them to lie on the floor (-50%). Chances of successfully completing every step will be reduced.

Step 1.1 Ethanol (Optional) Splash on, spray or apply a patch with Miner's Salve (+10%), Sterilizine (+20%), alcoholic drinks (up to +46%), or Honey (+60%) 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 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 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.

Procedures requiring no research or computer

Filter Blood

Used to purge any chemicals from the patients body without using chemicals with damaging side-effects, such as Calomel.

Target Target: Chest

Tend Wounds (Burn/Brute)

This surgery is a keypoint in saving limited resources such as synthflesh from being used up cloning a person who can still be resurrected.
Target Target: Chest

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.

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.

Hud target head.gif Target: Head

Heart Heart.png

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

Hud target chest.gif Target: Chest

Eyes Eyes.png

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

Hud target eyes.gif Target: Eyes

EarsEars.png

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

Hud target head.gif Target: Head

Liver Liver organ.png

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

Hud target chest.gif Target: Chest

Lungs Lungs.png

Required for breathing. Removing the lungs will cause the patient to suffocate, regardless of air or internals. Some species have mutant lungs that don't need air: transplanting them onto an breathing race will transfer this property.

Hud target chest.gif Target: Chest

Stomach Stomach organ.png

Required for digesting food.

Hud target chest.gif Target: Chest

Tongue Tongue.png Ltongue.png

Affects speech. Lacking a tongue will make speech very hard to comprehend, while mutant tongues such as lizards' or flypeoples' will give the patient the race's speech quirks. Abductors' tongues carry over their telepathy, but they prevent normal speech.

Hud target mouth.gif Target: Mouth

Appendix AppendixInflamed appendix

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

Hud target crotch.gif Target: Groin

Other organs that require Organ Manipulation

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

Cybernetic Implants Chest implant.pngBrain implant.pngEye implant.pngArm implant.png

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

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

Cybernetic Organs Cybernetic heart.gif Cybernetic liver.png Cybernetic lungs.png Robotic eyes.png

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

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

Xenomorph Embryo FacehuggerLarva

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

Hud target chest.gif Target: Chest

Romerol Tumor

A latent infection in the patient's head, caused by Romerol.

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

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

Hud target head.gif Target: Head

Prosthesis and Robotic 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

Alien Organ Manipulation

Used to remove or add organs from Xenos.

Lobectomy

This surgery is an extended organ manipulation, cutting open the chest cavity and removing a disfunctional lobe within the lungs.

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

Hud target chest.gif Target: Chest

Coronary Bypass

This surgery is an extended organ manipulation, cutting open the chest cavity and grafting a bypass onto the patient's heart.

This restores health to the heart, and makes it operable, if it was not before. Be warned, however, that this surgery can only be done once per heart, and that incising the heart and attaching the graft are not guaranteed successes. Keep bandages on hand in the event of failing the step, which will result in massive amounts of bleeding. Can only be performed if the heart has more than 60 damage (tad past severe damage threshold).

Hud target chest.gif Target: Chest

Hepatectomy

Removes damaged parts of the liver so that the liver may regenerate properly.

A liver healing surgery, similar to Coronary Bypass and Lobectomy. This liver surgery only shows up as an option when liver damage is above 50 and the liver itself is not failing.

Hud target chest.gif Target: Chest

Amputation

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

Target Target: Head, legs, or arms

Prosthetic Replacement

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

Target Target: Head, legs or arms

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.

We can rebuild him. We have the technology.

Target Target: Head, chest, legs or arms

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.

Hud target chest.gif Target: Chest

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!

Hud target chest.gif Target: Chest

Dental Implant

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

Hud target mouth.gif Target: Mouth

Brain Surgery

This procedure cures all severe and basic traumas and reduces brain damage by a large amount. Failing step 5, however, causes hefty brain damage.

Hud target head.gif Target: Head

Eye Surgery

This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.

Hud target eyes.gif Target: Eyes

Removal of Embedded Objects

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

Target Target: Head, chest, legs, or arms

Plastic Surgery

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

Hud target head.gif Target: Head

Lipoplasty

Removes excess fat from the patient. Can only be selected if the patient is fat.Hud-hunger.gif

Hud target chest.gif Target: Chest

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

Advanced Surgery

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

Reconstruction

The target is healed by this surgery, without any chemicals being involved!

Useful when healing dead bodies. Requires the "Advanced Surgery" technology.

Hud target chest.gif Target: Chest

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.

Hud target head.gif Target: Head

Experimental Surgery

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

Revival

The target is resurrected by this surgery.

Unlike normal defibrillation, it works on any non-husked corpse, regardless of how much damage the body has sustained or how long the target has been dead.
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. Requires the "Advanced Surgery" technology.

Hud target head.gif Target: Head

Pacification

The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.

Requires the "Experimental Surgery" technology.

Hud target head.gif Target: Head

Vein Threading

The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds.

Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Muscled Veins

Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart.

Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

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.

Hud target chest.gif Target: Chest

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.

Hud target chest.gif Target: Chest

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.

Hud target chest.gif Target: Chest

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.

Hud target chest.gif Target: Chest

Viral Bonding

The target is forced into a symbiotic relationship with a virus. It makes the virus stay at stage 1 where it's usually harmless, but still infective to others .

Note: The target must already be infected before you can initiate this surgery with the drapes. The target must be dosed with at least 5 units of Virus Food, Formaldehyde, and Spaceacillin for the "Viral Bond" step to work. This surgery will not hide the virus icon from medical huds.

Requires the "Experimental Surgery" technology.

Hud target chest.gif Target: Chest

Alien Surgery

These surgeries require the Alien Surgery research node, which requires the Alien Technology node, which can only be revealed from deconstructing certain abductor items. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Alien surgeries can only be performed on an operating table with a connected operating computer.

Brainwashing

The target of this surgery, when successful, is bound to a primary goal you assign to him/her. He/she must follow these objectives, regardless of allegiance. This can be cured through brain surgery or with a mindshield implant.

Requires either the brainwashing disk, acquired through the Syndicate Uplink, or researching the "Alien Surgery" technology.

Hud target head.gif Target: Head

Necrotic Revival

Revives a corpse into an infectious zombie which will probably munch your face off. Useful for forcing a shuttle call.

Note: The target must be dosed with at least 5 units of Zombie Powder or Rezadone for the "Bionecrosize" step to work.

Requires the "Alien Surgery" technology.

Hud target head.gif Target: Head