Latest revision as of 03:51, 6 March 2023

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

Surgical Tools[edit | edit source]

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[edit | edit source]

Step 1: Place the patient onto the operating table. 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 (-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 (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: (Optional) Use a tank of anesthetic and a breath mask to make your patient sleep.

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

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

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.

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[edit | edit source]

Tend Wounds (Burn/Brute)[edit | edit source]

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: Chest

The tools required for the surgery can always be found in the medical kit every doctor/paramedic starts their shift with.
Two different versions of the surgery can be performed, one that fixes burn damage and another that fixes brute damage.

Procedure	Ghetto Analogues
Step 1: Scalpel: make a careful incision (does not cause damage or bleeding).	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Tend bruises: repair damage to the target (automatically repeats until fully healed).	(65%) (55%)
Step 3: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

You can hold a Health Analyzer in your other hand to see your patient's remaining wounds while treating them.

Organ Manipulation[edit | edit source]

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: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3 (Head/Chest only): Circular Saw: saw through bones.	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: clamp the bleeders.	(60%) (35%) (15%)
Step 5: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 6 Remove: Hemostat: remove something.	(55%)
Step 6 Insert: Hands: insert something.
Step 7: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Ordinary organs that require Organ Manipulation[edit | edit source]

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

Brain [edit | edit source]

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: 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.

Heart [edit | edit source]

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.

Target: Chest

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 [edit | edit source]

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

Target: Eyes

Ears[edit | edit source]

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

Target: Head

Liver [edit | edit source]

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

Target: Chest

Lungs [edit | edit source]

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 [edit | edit source]

Required for digesting food.

Target: Chest

Tongue [edit | edit source]

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 [edit | edit source]

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

Target: Groin

Other organs that require Organ Manipulation[edit | edit source]

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

Cybernetic Implants [edit | edit source]

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 [edit | edit source]

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 [edit | edit source]

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[edit | edit source]

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.

Target: Head

Prosthesis and Robotic Organ Manipulation[edit | edit source]

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

Target: Head, chest, groin, arms

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

Alien Organ Manipulation[edit | edit source]

Used to remove or add organs from Xenos.

Procedure	Ghetto Analogues
Step 1: Circular Saw: saw through the bone.	(65%) (50%) (50%) (35%) (25%) (75%)
Step 2: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Circular Saw: saw through the bone.	(65%) (50%) (50%) (35%) (25%) (75%)
Step 5 Remove: Hemostat: remove something.	(55%)
Step 5 Insert: Hands: Insert something.
Step 6: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Lobectomy[edit | edit source]

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: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3 Circular Saw: saw through bones.	(65%) (50%) (50%) (35%) (25%) (75%) Any other sharp item (20%)
Step 4: Hemostat: clamp the bleeders.	(60%) (35%) (15%)
Step 5: Scalpel: excise the damage lung node. (95%)	(45%) (45%) (25%)
Step 6: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Coronary Bypass[edit | edit source]

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: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3 Circular Saw: saw through bones.	(65%) (50%) (50%) (35%) (25%) (75%) Any other sharp item (20%)
Step 4: Hemostat: clamp the bleeders.	(60%) (35%) (15%)
Step 5: Scalpel: incise the heart. (90%)	(45%) (45%) (25%)
Step 6 Hemostat: attach heart graft. (90%)	(35%) (15%) (5%)
Step 7: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Hepatectomy[edit | edit source]

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: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3 Circular Saw: saw through bones.	(65%) (50%) (50%) (35%) (25%) (75%) Any other sharp item (20%)
Step 4: Hemostat: clamp the bleeders.	(60%) (35%) (15%)
Step 5: Scalpel: incise. (90%)	(45%) (45%) (25%)
Step 5: Scalpel: remove damaged liver section. (95%)	(65%) (45%) (35%)
Step 7: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

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

Filter Blood[edit | edit source]

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.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 4: Blood filter: Filter blood (95%). Automatically repeatable until no reagents remain.
Step 5: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Amputation[edit | edit source]

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

Target: Head, legs, or arms

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Circular Saw: cut through the bone.	(65%) (50%) (50%) (35%) (25%) (75%)
Step 5: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 6: Scalpel or Circular Saw: sever the limb.	(80%) (50%) (40%) (25%) (80%)

Prosthetic Replacement[edit | edit source]

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%) (75%) Any other sharp item (30%)
Step 2: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Limb/Cyborg limb: replace the limb.
Step 4(Alternative): Chainsaw/Synthetic Arm Blade: replace the limb with the chosen weapon.

Augmentation[edit | edit source]

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: 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%) (75%) Any other sharp item (30%)
Step 2: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Scalpel: sever the muscles.	(55%)
Step 5: Circular Saw: cut through the bone.	(65%) (50%) (50%) (35%) (25%) (75%)
Step 6: Cyborg limb: augment the limb.

Cavity Implant[edit | edit source]

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.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: Place an item in the cavity or use your hands to check for items in the cavity. Repeatable.
Step 6: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Implant Removal[edit | edit source]

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!

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 3: Retractor: retract the skin.	(45%) (35%)
Step 4: Hemostat and Empty Implant Case: extract the implant.	(65%)
Step 5: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Dental Implant[edit | edit source]

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: Drill a hole in a tooth.	(60%) (60%) (20%)
Step 2: Pill/Patch: Insert a pill/patch.

Brain Recalibration[edit | edit source]

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: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3: Circular Saw: cut through the bone.	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 5: Hemostat: perform brain surgery. (85%)	(35%) (15%)
Step 6: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Eye Surgery[edit | edit source]

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: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 4: Hemostat: fix the patient's eyes.	(45%) (25%)
Step 5: Cautery: mend the incision.	(90%) (70%) (45%) (20%)

Removal of Embedded Objects[edit | edit source]

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

Target: Head, chest, legs, or arms

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

Plastic Surgery[edit | edit source]

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%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3: Scalpel: alter the patient's appearance.	(50%) (35%)
Step 4: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Lipoplasty[edit | edit source]

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

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: clamp bleeders.	(60%) (35%) (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.	(90%) (70%) (45%) (20%)

Slime Core Removal[edit | edit source]

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.

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: extract core.	(60%) (35%) (15%)

Advanced Surgery[edit | edit source]

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

Lobotomy[edit | edit source]

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: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3: Circular Saw: cut through the bone.	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 5: Lobotomize (85%): perform the lobotomy procedure.	(35%) (25%) (55%) Any other sharp item (20%)
Step 6: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Experimental Surgery[edit | edit source]

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[edit | edit source]

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.

Target: Head

Procedure	Ghetto Analogues
Step 1: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: retract the skin.	(45%) (35%)
Step 3: Circular Saw: cut through the bone.	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: clamp bleeders.	(60%) (35%) (15%)
Step 5: Scalpel: make an incision.	(65%) (45%) (75%) Any other sharp item (30%)
Step 6: Revive: revive the target (repeatable).	(75%) (60%)
Step 7: Cautery: seal the wound.	(90%) (70%) (45%) (20%)

Pacification[edit | edit source]

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