View source for Guide:Surgery

__TOC__
This is a page featuring information and guides about '''surgery'''.

==Update History==
Surgery is a feature in Growtopia that allows players to perform various types of surgeries on other players using various tools. It was first introduced in the [[Growtopia General Hospital (update)|Growtopia General Hospital]] update on November 21, 2013. It introduced a [[Surgical Kit|surgical pack]] costing 7,000 [[gems]] consisting of seven tools, namely, [[Surgical Sponge]], [[Surgical Scalpel]], [[Surgical Antibiotics]], [[Surgical Stitches]], [[Surgical Splint]], [[Surgical Antiseptic]] and [[Surgical Anesthetic]] each with its unique ability when performing a surgery.

The pack was updated during [[Anniversary Week/2017|Anniversary Week 2017]] on January 6, 2017, adding six new tools: [[Surgical Lab Kit]], [[Surgical Defibrillator]], [[Surgical Pins]], [[Surgical Clamp]], [[Surgical Transfusion]] and [[Surgical Ultrasound]].

On June 13, 2019, during the [[Blocktor's Orders! (update)|Blocktor's Orders!]] update, x10 [[Med-A-Check]] and a [[Train-E]] was added to the pack. In addition, it introduced 'maladies' and the Dr. title, rewarded for successfully performing surgery 5,000 times (excluding on [[Train-E]]<nowiki/>s).

As of [[Player Appreciation Week/2022|Player Appreciation Week 2022 Day 5]] on February 13, 2020. [[Heart Monitor]], [[Hospital Bed]], and [[Med-A-Check]] are no longer available in this pack. Two additional Surgery-related packs were added in the [[Growtopia Store]]: [[Surgery Starter Pack]] and [[Master Surgeon's Tool Bag]].

On August 26, 2024, during [[Player Appreciation Week/2024|Player Appreciation Week 2024 Day 1]], a hospital update was introduced. With a [[Reception Desk]], players can turn a world into a hospital and level it up to receive rewards such as an [[Auto Surgeon Station]] that allows players with a malady to cure themselves for a price and an [[Operating Table]] that summons a [[Surg-E]] daily. Additionally, it revamped maladies, granting players a debuff depending on the malady received.

==Performing Surgery==
A player can perform surgery on another player if the latter is standing on a [[Hospital Bed]] or [[Starship Sickbay Bed]], and is not affected by the [[Mods/Recovering|recovering]] mod. By using the [[Wrench]] and clicking the ''"Perform Surgery"'' button, the player can perform surgery on the other player. A [[Surg-E]] or [[Train-E]] is also available for players to be able to perform surgery without having other players as their patients.

==Item Pack==
There are three different packs, each pack containing different items/amounts:
*The [[Surgical Kit]], which contains 5 of all the needed tools, is available in the [[Growtopia Store|Store]] for 12,000 [[Gems|gems]]. It also provides one [[Surg-E]].
*The [[Master Surgeon's Tool Bag]], which contains 20 of all the needed tools, is available in the [[Growtopia Store|Store]] for 45,000 [[Gems|gems]]. It also provides 5 [[Surg-E]].
*The [[Surgery Starter Pack]], unlike Surgical Kit and Master Surgeon's Tool Bag, this pack does not provide any tools and is available in the [[Growtopia Store|Store]] for 5,000 [[Gems|gems]]. It provides a [[Heart Monitor]], [[Hospital Bed]], 5 [[Train-E]], [[Scrub Cap]], [[Scrub Mask]], [[Scrub Top]], and [[Scrub Pants]].

==Tools==
The following tools are needed in performing surgeries. Not every single tool is required to complete a surgery; however, players are strongly recommended to carry at least 10 of each tool in case they are needed for different diagnoses.
{| class="article-table mw-collapsible" border="0" cellpadding="1" cellspacing="1"
|-
!style="width:35%" | Tool
!style="width:65%" | Usage and effect
|-
|{{ItemLink|Surgical Sponge}}
|Used to clean up the operation site and make it easier to see. It is the only usable tool when the message "You can't see what you are doing!" is shown.
|-
|{{ItemLink|Surgical Splint}}
|Used to fix fractures. If the patient has a broken bone, use this to fix it.
|-
|{{ItemLink|Surgical Antiseptic}}
|Used to clean the operation site. If the operation site is unsanitary, this can be used to make it clean. It is also used to prevent infections that raise the patient's temperature. If the operation site has incisions or is bleeding ''and'' is unsanitary, a fever will start.
|-
|{{ItemLink|Surgical Antibiotics}}
|Used when the patient has a fever. If the patient's fever is climbing, this can be used to lower the temperature. The patient's temperature cannot be lower than 98.6.
|-
|{{ItemLink|Surgical Anesthetic}}
|Used to put a patient to sleep, turning its Awake status to Unconscious. [[Surgical Scalpel]] must only be used when the patient is not awake. 
|-
|{{ItemLink|Surgical Scalpel}}
|Used to cut open the patient. The "Fix it" button will usually appear once the patient is diagnosed and enough incisions are made. It is also used to access shattered bones so that [[Surgical Pins]] can be used.
Every use of scalpel causes slightly more bleeding.
|-
|{{ItemLink|Surgical Stitches}}
|Used to decrease bleeding and close up incisions. This tool is usually used when the patient is losing blood before a [[Surgical Scalpel]] has been used or after the "Fix it" button when the player's incisions need to be stitched up.
|-
|{{ItemLink|Surgical Lab Kit}}
|Used to unlock [[Surgical Antibiotics]]. [[Surgical Antibiotics]] cannot be used before using this tool.
|-
|{{ItemLink|Surgical Clamp}}
|Used to clamp up blood vessels. This tool can be used to decrease blood loss, but it can only be used if the patient has at least one incision. Less effective than [[Surgical Stitches]].
|-
|{{ItemLink|Surgical Pins}}
|Used to fix shattered bones. When used, a shattered bone turns into a broken bone. This item can only be used when the patient has at least one incision.
|-
|{{ItemLink|Surgical Transfusion}}
|Used to transfuse several pints of blood into a patient. Increases the strength of the patient's pulse, which is an indication of how much blood the patient has.
|-
|{{ItemLink|Surgical Ultrasound}}
|Used to diagnose a patient. If the root cause is not a fever, the player must use this to discover the patient's condition. It will also reveal the number of broken and shattered bones.
|-
|{{ItemLink|Surgical Defibrillator}}
|Used to shock a patient back to life. If the patient's heart has stopped, this must be given to the patient within 2 moves or the patient will die and the surgery will fail.
|-
|{{ItemLink|Surgical Love Mallet}}
|Used to remove the 'Love Struck' status that only appears during [[Valentine's Week]]. "Love Struck" causes the patient to become more and more unconscious until they become trapped in a permanent coma.
|-
|{{ItemLink|Empty Surgery Tray}}
|Unobtainable by players; used as an icon for when the player is missing a tool or if a tool is unavailable to use.
|-
|{{ItemLink|Med-A-Check}}
|Not a surgical tool but a consumable. Used to check if a player patient has a malady before performing surgery. Will not be consumed if the player does not have a malady. This is not a replacement for [[Surgical Ultrasound]], which still must be used during operations with maladies.
|}

==Skill Fail/Surgeon Skill==
'''Skill Fail''' is a randomly-generating mechanism designed to make surgery more difficult. During surgery, the surgeon may fail to use a tool properly. In the event of a skill fail, the tool either does nothing, does the opposite, or causes other negative effects. A player can improve their Surgeon Skill by completing surgeries (up to skill level 100). If a player's Surgeon Skill is higher, the player will receive less skill fails. Players with a low Surgeon Skill will face more skill fails, and it simulates the learning process of becoming better at surgery. Players with a Surgeon Skill of 100 can still face skill fails, however, the chances are relatively low.

The "Steady Hands" bonus from the Surgery role quests reduce the chance of skill fails slightly. Items like [[Skill Spice]], [[Tea]] and [[Exquisite Bone Saw]] give the player mods that further halve the chance of skill fails.

The following messages will appear if the player has received a skill fail for a particular tool used, and some skill fails cause the conditions to worsen.
*[[Surgical Lab Kit]] - ''"You contaminated the sample."'' No effect.
*[[Surgical Antibiotics]] - ''"This is the wrong medication! The bacteria like it."'' Patient's temperature increases, and their fever starts climbing.
*[[Surgical Transfusion]] - ''"You spilled blood everywhere!"''  Operation site becomes unsanitary.
*[[Surgical Antiseptic]] - ''"You spilled antiseptic on your shoes. They are very clean now."'' No effect.
*[[Surgical Sponge]] - ''"You somehow managed to eat the sponge."'' No effect.
*[[Surgical Stitches]] - ''"You somehow tied yourself up in stitches."'' No effect, but existing incisions can lead to bleeding which makes it harder to see.
*[[Surgical Anesthetic]] - ''"You end up inhaling all the anesthetic yourself. You feel woozy."'' Makes it harder to see.
*[[Surgical Ultrasound]] - ''"You scanned the nurse with your ultrasound!"'' No effect.
*[[Surgical Defibrillator]] - ''"You electrocuted yourself!"'' No effect.
*[[Surgical Splint]] - ''"You somehow cut the patient."'' Causes bleeding, makes it harder to see.
*[[Surgical Pins]] - ''"You jabbed the pin through the artery!"'' Causes bleeding, makes it harder to see.
*[[Surgical Clamp]] - ''"The clamp fell out of your hand, oh well."'' No effect.
*[[Surgical Scalpel]] - ''"This will leave a nasty scar, but you managed to cut the right place."'' Causes more bleeding than usual, and adds an incision.
*[[Surgical_Gloves|Fix it]] - ''"You screwed it up! Try again."'' No effect, but the player must retry to fix the issue.
*[[Surgical Love Mallet]] - ''"You hit yourself on the knee."'' Presumably no effect.

==Types of Problems==
The patient can have a multitude of conditions which must be addressed.

*If the patient's temperature is rising, [[Surgical Lab Kit]] must be used to unlock the [[Surgical Antibiotics]] which can then be given to the patient.
*If the patient has a weak pulse, [[Surgical Transfusion]] can be given to the patient.
*If the patient's heart has stopped, [[Surgical Defibrillator]] must be given to the patient.
*If the patient has any broken bones, [[Surgical Splint]] can be given to the patient to repair them.
*If the patient is losing blood while incisions exist, either [[Surgical Stitches]] (reduces incisions and blood loss) or [[Surgical Clamp]] (reduces blood loss less than stitches) can be given to the patient. If the patient is losing blood when there are no incisions, only [[Surgical Stitches]] can be used. Using stitches when there is only 1 incision removes that incision and all blood loss.
*Bleeding causes the operation side to become dirtier and the pulse to become weaker. If the patient is losing blood and the operation site is unsanitary, a fever will develop due to infection and [[Surgical Antibiotics]] must be used.
*If the patient wakes up while not all incisions are patched, they will "scream and flail", causing intense blood loss and difficulty in visibility. This can easily lead to a chain of skill fails, resulting in death by blood loss. Early usage of [[Surgical Anesthetic]] is advised.

== Possible diagnoses ==
All steps shown below are to be performed after the [[Surgical Ultrasound]] ([[Surgical Lab Kit]] in some cases) displays the problem. Ideally, most pre-existing conditions should be addressed before diagnosis.
{| class="article-table mw-collapsible" border="0" cellpadding="1" cellspacing="1"
|-
! style="width:35%" | Problem
! style="width:65%" | Steps to fix
|-
|{{Sprite|Spare Body Part}} Broken Arm
|Use [[Surgical Splint]] to fix the broken bones. Use [[Surgical Stitches]] to stop the bleeding.
|-
|{{Sprite|Rabbit's Foot}} Broken Leg
|Use [[Surgical Splint]] to fix the broken bones. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]]. Use [[Surgical Pins]] to fix any of the shattered bones. Close up the incisions made using [[Surgical Stitches]] and use a [[Surgical Splint]] to fix the broken bones.
|-
|
<br>{{Sprite|Silkworm Toy}} Bird Flu
<br>{{Sprite|Pet Turtle}} Turtle Flu
<br>{{Sprite|Capuchin Leash}} Monkey Flu
|Use [[Surgical Lab Kit]] to unlock [[Surgical Antibiotics]] and use until the patient's temperature is no longer rising.
|-
|{{Sprite|Toucan's Bill}} Nose Job
|Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually once). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Omegalul}} Lung Tumor
|Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually once). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Golden Heart Aura}} Heart Attack
|Use [[Surgical Antibiotics]] (optional) until the temperature is at 98.6. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually twice). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Alien Mind Protector}} Brain Tumor
|Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually five times). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Barf Gross Bean}} Liver Infection
|Use [[Surgical Antibiotics]] until the temperature reaches 98.6. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually twice). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Can Of Beans}} Kidney Failure
|Use [[Surgical Antibiotics]] until the temperature is at 98.6. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually twice). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Snowcone}} Appendicitis
|Use [[Surgical Antibiotics]] until the temperature is at 98.6. Use [[Surgical Antiseptic]] until site is clean. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually three times). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions. If the patient's temperature rises above 100, use [[Surgical Antibiotics]].
|-
|{{Sprite|World Owner Blingin' Chain}} Swallowed a World Lock
|Use [[Surgical Antibiotics]] until the temperature is at 98.6. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually twice). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Buzzsaw}} Herniated Disc/Damaged spine
|Use [[Surgical Antibiotics]] until the temperature is at 98.6. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually three times). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Totally Harmless Doll}} Broken Everything/Run over by a truck
|Use [[Surgical Antibiotics]] until the temperature is at 98.6. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears. Select the Fix it button and use [[Surgical Pins]] to fix the shattered bones, followed by [[Surgical Splint]]s. If the patient wakes up, use the [[Surgical Anesthetic]] again. Close up the incisions using [[Surgical Stitches]] and use the [[Surgical Splint]]s to repair the broken bones.
|-
|{{Sprite|Knife Head}} Serious Head Injury
|Use [[Surgical Stitches]] until the patient is no longer bleeding. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually once). Select the Fix it button and use [[Surgical Stitches]] to close up the incisions.
|-
|{{Sprite|Bandaged Mr. Narwhal}} Serious Trauma with a punctured lung
|Use [[Surgical Stitches]] until the patient is no longer bleeding. Use [[Surgical Splint]] until no more broken bones. Use [[Surgical Antiseptic]] once. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually twice). Use [[Surgical Stitches]] to close up the incisions until one remains (to reduce bleeding). Use [[Surgical Pins]] to fix the shattered bones and close the remaining incision using [[Surgical Stitches]].
|-
|{{Sprite|Sheet Music: Flat Sax}} Massive Trauma
|Use [[Surgical Stitches]] to stop blood loss. Use [[Surgical Transfusion]] until pulse is steady/good. Use [[Surgical Ultrasound]] to diagnose the patient. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually three times). Use one [[Surgical Stitches]] to stop bleeding. Use [[Surgical Pins]] to fix the shattered bones and close the remaining incision using [[Surgical Stitches]]. Use [[Surgical Splint]] until the patient no longer has any broken bones.
|-
|{{Sprite|Camera Log - Dropped}} Torn Punching Muscle (malady)

|Use [[Surgical Anesthetic]] to put the patient to sleep. Use [[Surgical Scalpel]] to cut open the patient until the Fix it button appears (usually once). Use [[Surgical Stitches]] to close the incision.
|-
|{{Sprite|Pile of Gems Icon}} Gem Cuts (malady)

|Use [[Surgical Anesthetic]] to put the patient to sleep. Use [[Surgical Scalpel]] (twice) until the message: ''"You have examined the wounds"'' appears. Select the Fix It button and use [[Surgical Stitches]] until there are no more incisions.
|-
|{{Sprite|Growmoji Broken Heart}} Broken Heart (malady)

|Use [[Surgical Lab Kit]] to unlock [[Surgical Antibiotics]] and use until the temperature is at 98.6. Put the patient to sleep using [[Surgical Anesthetic]]. Use [[Surgical Scalpel]] until Fix it appears. Use [[Surgical Pins]] twice on the broken bones. Use [[Surgical Stitches]] until no incisions. This malady has very frequent heart stops, hence the name "Broken Heart." It is HIGHLY recommended that to use any items/clothes that reduce the chances of a skill fail, such as Tea. Use [[Surgical Splint]] until no more bones are shattered.
|-
|[[File:PAW Icon 5.png|36px|link=]] Grumbleteeth (malady)

|Use [[Surgical Antibiotics]] until the temperature reaches 98.6. Use [[Surgical Ultrasound]] to diagnose the patient. Put the patient to sleep using [[Surgical Anesthetic]] and cut the patient open using a [[Surgical Scalpel]] until the Fix it button appears (usually once). Use [[Surgical Pins]] to fix the shattered bone and [[Surgical Splint]] to repair the broken bone. Use [[Surgical Stitches]] to close up the incision and select the Fix it button.
|-
|{{Sprite|Chicken}} Chicken Feet (malady)

|Use [[Surgical Lab Kit]] to unlock [[Surgical Antibiotics]] and then reduce the patient's temperature back to 98.6. Put the patient to sleep using [[Surgical Anesthetic]]. Use [[Surgical Scalpel]] until Fix It appears. Use [[Surgical Pins]] twice on the broken bones. Use [[Surgical Stitches]] to close the incisions and select the Fix It button. Use [[Surgical Splint]] until the patient no longer has broken bones.
|-
|{{Sprite|Vile Vial - Chaos Infection}} Chaos Infection (malady)

|Use [[Surgical Sponge]], then use [[Surgical Lab Kit]] to unlock [[Surgical Antibiotics]] to reduce temperature back to 98.6. Use [[Surgical Stitches]] to stop the bleeding. Fix the broken bones with [[Surgical Splint]]. Put the patient to sleep with [[Surgical Anesthetic]]. Use [[Surgical Scalpel]] until Fix it button appears (usually three times). Use [[Surgical Stitches]] to close incisions. Do note that this malady can give random temperature rise and drops, heart stops, and patient status fluctuations (such as the patient falling asleep without an anesthetic). It is advised to stay observant whilst performing this malady.
'''Vicious''': Patient's chaotic energy becomes virulent, causing random problems to occur more frequently.
|-
|{{Sprite|Vile Vial - Lupus}} Lupus (malady)

|Use [[Surgical Lab Kit]] to unlock [[Surgical Antibiotics]] and then reduce the patient's temperature once (twice if the patient suffers Antibiotic-resistant). Use [[Surgical Anesthetic]] then continue use [[Surgical Antibiotics]] until patient's temperature is 98.6. Use [[Surgical Antiseptic]] until the operational site is clean. Use [[Surgical Transfusion]] until the pulse is strong. If the patient howls during this time, use [[Surgical Stitches]] to close incisions. Use [[Surgical Scalpel]] until incisions are 3. If the patient howls when incisions are below 3 during this time, use [[Surgical Clamp]] to stop the bleeding. Use [[Surgical Stitches]] to close incisions then select Fix It button. When the patient howls, add an incision and causing bleeding. Do take note that this malady is highly reliant on luck. Once the patient howls twice back-to-back on the very first move, it instantly becomes impossible, due to the presence of two incisions while the patient is not unconscious and rapid bleeding. It is advised to give up rather than to waste Surgical Tools in vain.
'''Vicious''': Increases the odds of the patient howling. Additionally, vicious have 1 broken bones instead of 2 shattered bones.
|-
|{{Sprite|Vile Vial - Brainworms}} Brainworms (malady)

|Use [[Surgical Lab Kit]] to unlock [[Surgical Antibiotics]] and then reduce the patient's temperature back to 98.6. Then, use [[Surgical Stitches]] to stop the patient from bleeding. Put the patient to sleep with [[Surgical Anesthetic]] and use the [[Surgical Scalpel]] once. Use the [[Surgical Clamp]] to fix any bleeding. Use [[Surgical Pins]] to fix the shattered bone and [[Surgical Splint]] to repair the broken bone. Use [[Surgical Scalpel]] until Fix it button appears (usually after 2 incisions). Use [[Surgical Antibiotics]], [[Surgical Sponge]], and [[Surgical Anesthetic]] to avoid having to use them while removing the worms, Fix it, if brains escape to the back of the brain, repeat. Use [[Surgical Stitches]] to close incisions.
'''Vicious''': Increases the worms' odds to escape.
|-
|{{Sprite|Vile Vial - Moldy Guts}} Moldy Guts (malady)

|Use [[Surgical Lab Kit]] to unlock [[Surgical Antibiotics]] and then reduce the patient's temperature back to 98.6. Put the patient to sleep using [[Surgical Anesthetic]]. Use [[Surgical Scalpel]] until Fix It appears (usually twice). Use [[Surgical Pins]] once on the broken bone. Fix it, Use [[Surgical Stitches]] to close the incisions and select the Fix It button. Use [[Surgical Splint]] until the patient no longer has broken bones. You are forced to use [[Surgical Sponge]] every few turns, "''The patient's guts burst making it impossible to see anything!''".
'''Vicious''': The patient's temperature will always rises and become more severe.
|-
|{{Sprite|Vile Vial - Ecto-Bones}} Ecto-Bones (malady)

|Use [[Surgical Sponge]] to clean the site. Then, use [[Surgical Splint]] until the patient no longer has broken bones (usually six times). Use [[Surgical Anesthetic]] then use [[Surgical Scalpel]] once. Use [[Surgical Pins]] twice on the shattered bones. Use [[Surgical Stitches]] to close the incisions. Use [[Surgical Splint]] until the patient no longer has broken bones. Lastly, select Fix It button. Skill fails using [[Surgical Pins]] may lead to extra shattered bones, the message will be shown: ''"The pin phased through the bone and jabbed an artery, shattering another bone in the process!".''
'''Vicious''': Guarantees the extra shattered bones, and increases skill fail when using [[Surgical Pins]].
|-
|{{Sprite|Vile Vial - Fatty Liver}} Fatty-Liver (malady) 

|Use [[Surgical Lab Kit]] to unlock [[Surgical Antibiotics]] and then reduce the patient's temperature back to 98.6. Use [[Surgical Sponge]] and [[Surgical Antiseptic]] if needed. Put the patient to sleep using [[Surgical Anesthetic]] (note that the patient will have frequent heart attacks from this point on). Use [[Surgical Scalpel]] three times. Use [[Surgical Stitches]] to close the incisions, then Fix it. Use [[Surgical Sponge]] every time the operation site becomes "hard to see", which will prevent not being able to fix the common heart stops: "''The fat build up has caused the patient's heart to stop!''".
'''Vicious''': Increase the odd to heart stop and gains small resistance to [[Surgical Antibiotics]]
|}

=== Modifiers of diagnoses ===
During surgery, some patients may have special conditions on top of their problems. These can be revealed by [[Surgical Lab Kit]] or [[Surgical Ultrasound]], and they make the operation more difficult.
*''"The patient exhibits very tough skin. Possibly a superhero."'' - requires an extra [[Surgical Scalpel]] to cut into the patient and use '''Fix It''', [[Surgical Clamp]] and [[Surgical Splint]].
*''"The patient has an antibiotic-resistant infection."'' - [[Surgical Antibiotics]] slow down the climbing temperature less.
*''"The patient is absolutely filthy."'' - the operation site will become unsanitary faster than normal, requiring more [[Surgical Antiseptic]] (or [[Surgical Antibiotics]] if the player chooses not to use antiseptic) during surgery.
*''"The patient is hyperactive."'' - After being given one [[Surgical Anesthetic]], the patient wakes up on the 4th moves after use instead of the 10th.
*''"The patient is a hemophiliac."'' - the patient will bleed faster than normal.

==Maladies==
'''Maladies''' are a type of disease that was introduced as part of the [[Blocktor's Orders! (update)|Blocktor's Orders! update]] on 13 June 2019.
===Regular Maladies===
Regular maladies can be randomly obtained while performing certain actions that pertain to that malady. These actions include:

{| border="0" cellspacing="1" cellpadding="1" class="article-table"
|-
! scope="col"|Maladies
! scope="col"|Action
|-
|Torn Punching Muscle
|{{Sprite|Fist}} Punching
|-
|Gem Cuts
|{{Sprite|Pile of Gems Icon}} Picking up [[Gems]]
|-
|Broken Heart
|{{Sprite|Head Mirror}}Performing Surgeries
|-
|Grumbleteeth
|[[File:Chat button.png|36px|link=]] Chatting
|-
|Chicken Feet
|{{Sprite|Boots}} Walking
|}
A player can also get these maladies during the Surgery Day event, where upon logging on, every player will get any of the five, along with a special prize that is rewarded if successfully completed:
{| border="0" cellspacing="1" cellpadding="1" class="article-table"
|-
! scope="col"|Maladies
! scope="col"|Reward
|-
|Torn Punching Muscle
|{{ItemLink|Punchy Fist}}
|-
|Gem Cuts
|{{ItemLink|Gem Hair}}<br>{{ItemLink|Ice Shard Hair}} (whilst [[Growch]]'s heart size is at least 9)
|-
|Broken Heart
|{{ItemLink|Loving Halo}}<br>{{ItemLink|Widow's Hat}}<br>{{ItemLink|Widow's Makeup}}<br>{{ItemLink|Widow's Corset}}<br>{{ItemLink|Widow's Skirt}}
|-
|Grumbleteeth
|{{ItemLink|Terrifying Toothface}}
|-
|Chicken Feet
|{{ItemLink|Chicken Feet}}
|}

===Consumed Maladies (Vile Vials)===
'''Vile Vials''' are consumables that can give a player a malady and will also have a chance of giving a Vicious Malady. If a player has vicious malady, this will be harder to perform surgery but can reward special rewards such as [[Guide:Surgery#Angel of Mercy's_Wings and Dr. Title|Doctor's Blingin' Set]]. This can be made easier if the player has a [[UV Vaccine]] equipped.

The possible vile vials are:
{| border="0" cellspacing="1" cellpadding="1" class="article-table"
|-
! scope="col"|Vile Vial
! scope="col"|Recipe
! scope="col"|Reward
! scope="col"|Possible reward from curing a vicious malady
|-
|{{ItemLink|Vile Vial - Lupus}}
|Possible bonus reward from completing a [[WOLFWORLD]].
|{{ItemLink|Snakewolf}} (very rare)
{{ItemLink|Howly Hat}} (rare)

{{ItemLink|Doctor's Lab Coat}} (rare)

{{ItemLink|Mean Wolf Block}} (common)
|{{ItemLink|Doctor's Blingin' Mask}}
|-
|{{ItemLink|Vile Vial - Moldy Guts}}
|Possible bonus reward from infecting another player with the [[G-Virus|G-Virus]] or by infecting people while being a zombie.
|{{ItemLink|Block o' Barf}} (rare)
{{ItemLink|Gut Buster}} (rare)

{{ItemLink|Stitchlips}} (common)
|{{ItemLink|Doctor's Blingin' Booties}}
|-
|{{ItemLink|Vile Vial - Ecto-Bones}}
|Possible bonus reward from exploding a [[Spirit Storage Unit]].
|{{ItemLink|Ghostking's Glory}} (very rare)
{{ItemLink|Ecto-Lock}} (rare)

{{ItemLink|Steppin' Ghost}} (common)
|{{ItemLink|Doctor's Blingin' Pants}}
|-
|{{ItemLink|Vile Vial - Chaos Infection}}
|Possible bonus reward from defeating [[Growlactus]].
|{{ItemLink|Hands of the Void}} (rare)
{{ItemLink|Feet of the Void}} (rare)

{{ItemLink|Chaos Corruption}} (very rare)

{{ItemLink|Scarf of Prometheus}} (very rare)
|{{ItemLink|Doctor's Blingin' Cross}}
|-
|{{ItemLink|Vile Vial - Fatty Liver}}
|Possible bonus reward from [[Cooking (update)|cooking]] any meal with at least 95% quality.
|{{ItemLink|The Fattenator}} (very rare)
{{ItemLink|Cupcake Hat}} (rare)

{{ItemLink|Big Belly}} (rare)
|{{ItemLink|Doctor's Blingin' Top}}
|-
|{{ItemLink|Vile Vial - Brainworms}}
|Possible bonus reward from catching a perfect [[Guide:Fishing|fish]].
|{{ItemLink|Clockwork Fish}} (random chance to get 1lb-200lb) (rare)
{{ItemLink|Wormtouch}} (very rare)
|{{ItemLink|Doctor's Blingin' Cap}}
|}

===Malady De-Buffs===
As of [[Player Appreciation Week/2024#Day 1 - 26th August|Player Appreciation Week 2024 - Day 1]], being infected with a malady will grant you a de-buff that corresponds to the type of malady you have. These de-buffs include:

{| border="0" cellspacing="1" cellpadding="1" class="article-table"
|-
! scope="col"|Malady
! scope="col"|Obtainment
! scope="col"|Debuff
|-
|{{Sprite|Camera Log - Dropped}} Torn Punching Muscle
|{{dot}} [[Punching]]
|{{dot}} Reduced Punch Damage
|-
|{{Sprite|Vile Vial - Ecto-Bones}} Ecto-Bones
|{{dot}} [[Ghost|Ghost catching]]
|{{dot}} Reduced [[Ghost|Ghost Catching]] (by chance of a miss in catching a ghost)
|-
|{{Sprite|Vile Vial - Lupus}} Lupus
|{{dot}} Completing [[WOLFWORLD]]s
|{{dot}} Reduced [[WOLFWORLD]] time to complete to 8 minutes
|-
|{{Sprite|Vile Vial - Fatty Liver}} Fatty Liver
|{{dot}} [[Guide:Cooking|Cooking]]
|{{dot}} Reduced [[Guide:Cooking|Cooking]] Quality
|-
|{{Sprite|Vile Vial - Chaos Infection}} Chaos Infection
|{{dot}} Completing [[Guide:Startopia|Startopia]] voyages
|{{dot}} Reduced [[Guide:Startopia|Startopia]] Success (by higher chances of skill fails)
|-
|{{Sprite|Vile Vial - Moldy Guts}} Moldy Guts
|{{dot}} Killing [[G-Virus|zombies]] or infecting people
|{{dot}} Reduced Zombie Hunting & Infection (by chance of a miss in killing a zombie or infecting people)
|-
|{{Sprite|Chicken}} Chicken Feet
|{{dot}} Walking and jumping
|{{dot}} Reduced Speed & Jump Height
|-
|{{Sprite|Vile Vial - Brainworms}} Brainworms
|{{dot}} [[Guide:Fishing|Fishing]]
|{{dot}} Reduced [[Guide:Fishing|Fishing]] Skill (by chance of a miss in catching a fish)
|-
|[[File:PAW Icon 5.png|36px|link=]] Grumbleteeth
|{{dot}} Talking
|{{dot}} Reduced Talking
|-
|{{Sprite|Growmoji Broken Heart}} Broken Heart
|{{dot}} Completing a [[Guide:Surgery|Surgery]] 
|{{dot}} Reduced [[Guide:Surgery|Surgery]] Skills (by higher chances of skill fails)
|-
|{{Sprite|Pile of Gems Icon}} Gem Cuts
|{{dot}} Collecting [[Gems]] 
|{{dot}} Reduced [[Gems]] (by cutting gems received by half when breaking blocks or collecting from [[ATM Machine]]s)
|}

== Surgery Success and Failure ==
To finish a surgery, the patient must have the diagnosis fixed, all bones fixed, have no incisions, have no visible bleeding, have a body temperature of less than 100.4, and have a consciousness status that isn't "Heart Stopped". Pulse strength and temperature rising are not considered when calculating the success of an operation.

Failure of surgery can be caused by these issues below. The player will receive one of these messages below and get the ''Malpractice'' mod, which disallows the player from performing surgery for a period of time.

* ''"The patient was not resuscitated in time. YOUR MEDICAL LICENSE IS REVOKED!"'' [[Surgical Defibrillator]] was not used within 2 moves after the heart stopped.
* ''"You just stabbed someone who was fully awake! YOUR MEDICAL LICENSE IS REVOKED!"'' [[Surgical Scalpel]] was used while the patient was awake.
* ''"The patient has bled out! YOUR MEDICAL LICENSE IS REVOKED!"'' Blood loss has caused the pulse to fall below "Extremely weak".
* ''"The patient has succumbed to infection. YOUR MEDICAL LICENSE IS REVOKED!''" The patient's temperature has risen above 110 degrees.
* ''"You couldn't save them!"'' The player gave up the surgery.
* ''"Someone seems to have smashed your surgical robot."'' The [[Surg-E]] was broken by punching before the player could finish performing surgery on it.
* ''"You put the patient to sleep. Permanently."'' Used [[Surgical Anesthetic]] within the first 4 moves after the patient was unconscious or Near Coma!.
*''"You abandoned the patient."'' The player used wrench at something else (eg. Sign, Surg-E, Door) before the player finished the surgery.

==Hospitals==
Hospitals were introduced to the game as a part of [[Player Appreciation Week/2024#Day 1 - 26th August|Player Appreciation Week 2024 Day 1]] on August 26, 2024.
Upon placing a [[Reception Desk]] in any world, the world can function as a hospital.
===General Information===
Owner of the hospital world can view information about their hospital via the [[Reception Desk]]: 
The desk exhibits the level and ratings of the hospital while allowing the owner to:
*View their Hospital Stats.
*Level up their hospital.
*Add other players as doctors in their hospital.

Reception Desks can be upgraded to higher levels, relevant information about this upgrading process can be found in the table below:
{| class="mw-collapsible mw-collapsed article-table" style="width:100%"
|-
!style="width:15%"|<div style="text-align: center;">{{{1|Levels}}}</div>
!style="width:28%"|<div style="text-align: center;">{{{1|Requirements}}}</div>
!style="width:28%"|<div style="text-align: center;">{{{1|Perks}}}</div>
!style="width:28%"|<div style="text-align: center;">{{{1|Rewards}}}</div>
|-
|Level 1 to 2
|
*Cure 20 Patients
*Add 1 Doctor
*Reach 1 Rating
*Cure 5 Torn Punching Muscle Malady
*Cure 5 Gem Cuts Malady
Cost: [[World Lock]] {{x}}10
|
*{{ItemLink|Operating Table}} capacity +1
*Surg-E Patient Duration: Between 4 hours, 5 minutes and 6 hours
|
*{{ItemLink|Operating Table}} {{x}}1
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 2 to 3
|
*Cure 140 Patients
*Build 1 [[Auto Surgeon Station]]s
*Build 1 [[Operating Table]]s
*Add 1 Doctors
*Reach 1 Rating
Cost: [[World Lock]] {{x}}20
|
*None
|
*{{ItemLink|Operating Table}} {{x}}1
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 3 to 4
|
*Cure 320 Patients
*Build 1 [[Auto Surgeon Station]]
*Build 2 [[Operating Table]]s
*Add 2 Doctors
*Reach 1 Rating
*Cure 5 Gumbleteeth Malady
*Cure 5 Chicken Feet Malady
Cost: [[World Lock]] {{x}}20
|
*{{ItemLink|Operating Table}} capacity +1
*Surg-E Patient Spawn Delay: Between 22 hours, 55 minutes and 1 day, 1 hour
*Surg-E Patient Duration: Between 4 hours, 10 minutes and 6 hours, 10 minutes
All types of maladies that [[Auto Surgeon Station]] can cure now require 1 less [[Surgical Scalpel]]
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 4 to 5
|
*Cure 560 patients
*Build 2 [[Auto Surgeon Station]]s
*Build 3 [[Operating Table]]s
*Add 2 Doctors
*Reach 1 Rating
Cost: [[World Lock]] {{x}}30
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
*{{ItemLink|Operating Table}} capacity +1
*Doctor Capacity +1
*Now [[Auto Surgeon Station]]s can cure [[Vile Vial - Chaos Infection|Chaos]] Malady & Broken Heart Malady
|
*{{ItemLink|Operating Table}} {{x}}1
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 5 to 6
|
*Cure 860 patients
*Build 2 [[Auto Surgeon Station]]s
*Build 4 [[Operating Table]]s
*Add 3 Doctors
*Reach 1 Rating
*Cure 5 Broken Heart Malady
*Cure 5 [[Vile Vial - Brainworms|Brainworms]] Malady
Cost: [[World Lock]] {{x}}30
|
*Surg-E Patient Duration: Between 4 hours, 15 minutes and 6 hours, 10 minutes
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 6 to 7
|
*Cure 1220 patients
*Build 3 [[Auto Surgeon Station]]s
*Build 5 [[Operating Table]]s
*Add 3 Doctors
*Reach 2 Rating
Cost: [[World Lock]] {{x}}40
|
*{{ItemLink|Operating Table}} capacity +1
*Now [[Auto Surgeon Station]]s can cure [[Vile Vial - Brainworms|Brainworms]] Malady & [[Vile Vial - Moldy Guts|Moldy Guts]] Malady
|
*{{ItemLink|Operating Table}} {{x}}1
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 7 to 8
|
*Cure 1640 patients
*Build 3 [[Auto Surgeon Station]]s
*Build 5 [[Operating Table]]s
*Add 3 Doctors
*Reach 2 Rating
*Cure 5 [[Vile Vial - Fatty Liver|Fatty Liver]] Malady
*Cure 5 [[Vile Vial - Ecto-Bones|Ecto-Bones]] Malady
Cost: [[World Lock]] {{x}}40
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
*{{ItemLink|Operating Table}} capacity +1
*Doctor Capacity +1
*Surg-E Patient Spawn Delay: Between 22 hours, 50 minutes and 1 day, 50 minutes
*Surg-E Patient Duration: Between 4 hours, 20 minutes and 6 hours, 20 minutes
All types of maladies that [[Auto Surgeon Station]] can cure now require 1 less [[Surgical Stitches]]
|
*None
|-
|Level 8 to 9
|
*Cure 2120 patients
*Build 3 [[Auto Surgeon Station]]s
*Build 6 [[Operating Table]]s
*Add 4 Doctors
*Reach 2 Rating
Cost: [[World Lock]] {{x}}50
|
*Now [[Auto Surgeon Station]]s can cure [[Vile Vial - Fatty Liver|Fatty Liver]] Malady, [[Vile Vial - Ecto-Bones|Ecto-Bones]] Malady & [[Vile Vial - Lupus|Lupus]] Malady
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 9 to 10
|
*Cure 2660 patients
*Build 4 [[Auto Surgeon Station]]s
*Build 7 [[Operating Table]]s
*Add 4 Doctors
*Reach 2 Rating
*Cure 5 [[Vile Vial - Moldy Guts|Moldy Guts]] Malady
*Cure 5 [[Vile Vial - Chaos Infection|Chaos]] Malady
*Cure 5 [[Vile Vial - Lupus|Lupus]] Malady
Cost: [[World Lock]] {{x}}50
|
*{{ItemLink|Operating Table}} capacity +1
*Surg-E Patient Duration: Between 4 hours, 25 minutes and 6 hours, 20 minutes
|
*{{ItemLink|Operating Table}} {{x}}1
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 10 to 11
|
*Cure 3260 patients
*Build 4 [[Auto Surgeon Station]]s
*Build 7 [[Operating Table]]s
*Add 4 Doctors
*Reach 2 Rating
Cost: [[World Lock]] {{x}}50
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
*{{ItemLink|Operating Table}} capacity +1
*Doctor Capacity +1
|
*None
|-
|Level 11 to 12
|
*Cure 3920 patients
*Build 4 [[Auto Surgeon Station]]s
*Build 8 [[Operating Table]]s
*Add 5 Doctors
*Reach 3 Rating
Cost: [[World Lock]] {{x}}60
|
*Surg-E Patient Spawn Delay: Between 22 hours, 45 minutes and 1 day, 50 minutes
*Surg-E Patient Duration: Between 4 hours, 30 minutes and 6 hours, 30 minutes
[[Vile Vial - Ecto-Bones|Ecto-Bones]] Malady that [[Auto Surgeon Station]] can cure now require 1 less [[Surgical Splint]]
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 12 to 13
|
*Cure 4640 patients
*Build 5 [[Auto Surgeon Station]]s
*Build 9 [[Operating Table]]s
*Add 5 Doctors
*Reach 3 Rating
Cost: [[World Lock]] {{x}}60
|
*{{ItemLink|Operating Table}} capacity +1
|
*{{ItemLink|Operating Table}} {{x}}1
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 13 to 14
|
*Cure 5420 patients
*Build 5 [[Auto Surgeon Station]]s
*Build 9 [[Operating Table]]s
*Add 5 Doctors
*Reach 3 Rating
Cost: [[World Lock]] {{x}}70
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
*Doctor capacity +1
*Surg-E Patient Duration: between 4 hours, 35 minutes and 6 hours, 30 minutes
|
*None
|-
|Level 14 to 15
|
*Cure 6260 patients
*Build 5 [[Auto Surgeon Station]]s
*Build 10 [[Operating Table]]s
*Add 6 Doctors
*Reach 3 Rating
Cost: [[World Lock]] {{x}}70
|
*None
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 15 to 16
|
*Cure 7160 patients
*Build 6 [[Auto Surgeon Station]]s
*Build 10 [[Operating Table]]s
*Add 6 Doctors
*Reach 3 Rating
Cost: [[World Lock]] {{x}}70
|
*{{ItemLink|Operating Table}} capacity +1
*Surg-E Patient Spawn Delay: Between 22 hours, 40 minutes and 1 day, 40 minutes
*Surg-E Patient Duration: Between 4 hours, 40 minutes and 6 hours, 40 minutes
|
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 16 to 17
|
*Cure 8120 patients
*Build 6 [[Auto Surgeon Station]]s
*Build 10 [[Operating Table]]s
*Add 6 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}70
|
*None
|
*None
|-
|Level 17 to 18
|
*Cure 9140 patients
*Build 6 [[Auto Surgeon Station]]s
*Build 11 [[Operating Table]]s
*Add 6 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}80
|
*{{ItemLink|Operating Table}} capacity +1
*Doctor capacity +1
*Surg-E Patient Duration: Between 4 hours, 45 minutes and 6 hours, 40 minutes
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 18 to 19
|
*Cure 10220 patients
*Build 6 [[Auto Surgeon Station]]s
*Build 11 [[Operating Table]]s
*Add 7 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}80
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
|
*None
|-
|Level 19 to 20
|
*Cure 11360 patients
*Build 6 [[Auto Surgeon Station]]s
*Build 12 [[Operating Table]]s
*Add 7 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}80
|
*Surg-E Patient Spawn Delay: Between 22 hours, 35 minutes and 1 day, 40 minutes
*Surg-E Patient Duration: Between 4 hours, 50 minutes and 6 hours, 50 minutes
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 20 to 21
|
*Cure 12560 patients
*Build 7 [[Auto Surgeon Station]]s
*Build 12 [[Operating Table]]s
*Add 7 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}80
|
*{{ItemLink|Operating Table}} capacity +1
|
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 21 to 22
|
*Cure 13820 patients
*Build 7 [[Auto Surgeon Station]]s
*Build 12 [[Operating Table]]s
*Add 7 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}90
|
*Doctor capacity +1
*Surg-E Patient Duration: Between 4 hours, 55 minutes and 6 hours, 50 minutes
|
*None
|-
|Level 22 to 23
|
*Cure 15140 patients
*Build 7 [[Auto Surgeon Station]]s
*Build 13 [[Operating Table]]s
*Add 8 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}90
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
*{{ItemLink|Operating Table}} capacity +1
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 23 to 24
|
*Cure 16520 patients
*Build 7 [[Auto Surgeon Station]]s
*Build 13 [[Operating Table]]s
*Add 8 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}90
|
*Surg-E Patient Spawn Delay: Between 22 hours, 30 minutes and 1 day, 30 minutes
*Surg-E Patient Duration: Between 5 hours and 7 hours
|
*None
|-
|Level 24 to 25
|
*Cure 17960 patients
*Build 8 [[Auto Surgeon Station]]s
*Build 14 [[Operating Table]]s
*Add 8 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}90
|
*None
|
*{{ItemLink|Operating Table}} {{x}}1
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 25 to 26
|
*Cure 19460 patients
*Build 8 [[Auto Surgeon Station]]s
*Build 14 [[Operating Table]]s
*Add 8 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}100
|
*Surg-E Patient Duration: Between 5 hours, 5 minutes and 7 hours
|
*None
|-
|Level 26 to 27
|
*Cure 21020 patients
*Build 8 [[Auto Surgeon Station]]s
*Build 14 [[Operating Table]]s
*Add 8 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}100
|
*{{ItemLink|Operating Table}} capacity +1
*Doctor capacity +1
|
*None
|-
|Level 27 to 28
|
*Cure 22640 patients
*Build 8 [[Auto Surgeon Station]]s
*Build 14 [[Operating Table]]s
*Add 9 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}100
|
*Surg-E Patient Spawn Delay: Between 22 hours, 25 minutes and 1 day, 30 minutes
*Surg-E Patient Duration: Between 5 hours, 10 minutes and 7 hours, 10 minutes
|
None
|-
|Level 28 to 29
|
*Cure 24320 patients
*Build 8 [[Auto Surgeon Station]]s
*Build 15 [[Operating Table]]s
*Add 9 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}100
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 29 to 30
|
*Cure 26060 patients
*Build 8 [[Auto Surgeon Station]]s
*Build 15 [[Operating Table]]s
*Add 9 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}100
|
*Surg-E Patient Duration: Between 5 hours, 15 minutes and 7 hours, 10 minutes
|
*None
|-
|Level 30 to 31
|
*Cure 27860 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 15 [[Operating Table]]s
*Add 9 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}110
|
*{{ItemLink|Operating Table}} capacity +1
|
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 31 to 32
|
*Cure 29720 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 15 [[Operating Table]]s
*Add 9 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}110
|
*Surg-E Patient Spawn Delay: Between 22 hours, 20 minutes and 1 day, 20 minutes
*Surg-E Patient Duration: Between 5 hours, 20 minutes and 7 hours, 20 minutes
|
*None
|-
|Level 32 to 33
|
*Cure 31640 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 16 [[Operating Table]]s
*Add 9 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}110
|
*Doctor capacity +1
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 33 to 34
|
*Cure 33620 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 16 [[Operating Table]]s
*Add 10 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}110
|
*Surg-E Patient Duration: Between 5 hours, 25 minutes and 7 hours, 20 minutes
|
*None
|-
|Level 34 to 35
|
*Cure 35660 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 16 [[Operating Table]]s
*Add 10 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}110
|
*{{ItemLink|Operating Table}} capacity +1
|
*None
|-
|Level 35 to 36
|
*Cure 37760 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 16 [[Operating Table]]s
*Add 10 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}110
|
*Surg-E Patient Spawn Delay: Between 22 hours, 15 minutes and 1 day, 20 minutes
*Surg-E Patient Duration: Between 5 hours, 30 minutes and 7 hours, 30 minutes
|
*None
|-
|Level 36 to 37
|
*Cure 39920 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 17 [[Operating Table]]s
*Add 10 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}110
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 37 to 38
|
*Cure 42140 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 17 [[Operating Table]]s
*Add 10 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*Surg-E Patient Duration: Between 5 hours, 35 minutes and 7 hours, 30 minutes
|
*None
|-
|Level 38 to 39
|
*Cure 44420 patients
*Build 9 [[Auto Surgeon Station]]s
*Build 17 [[Operating Table]]s
*Add 10 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*None
|
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 39 to 40
|
*Cure 46760 patients
*Build 10 [[Auto Surgeon Station]]s
*Build 17 [[Operating Table]]s
*Add 10 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*{{ItemLink|Operating Table}} capacity +1
*Surg-E Patient Spawn Delay: Between 22 hours, 10 minutes and 1 day, 10 minutes
*Surg-E Patient Duration: Between 5 hours, 40 minutes and 7 hours, 40 minutes
|
*None
|-
|Level 40 to 41
|
*Cure 49160 patients
*Build 10 [[Auto Surgeon Station]]s
*Build 17 [[Operating Table]]s
*Add 10 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*Doctor capacity +1
|
*None
|-
|Level 41 to 42
|
*Cure 51620 patients
*Build 10 [[Auto Surgeon Station]]s
*Build 18 [[Operating Table]]s
*Add 11 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*Doctor capacity +1
*Surg-E Patient Duration: Between 5 hours, 45 minutes and 7 hours, 40 minutes
|
*{{ItemLink|Operating Table}} {{x}}1
|-
|Level 42 to 43
|
*Cure 54140 patients
*Build 10 [[Auto Surgeon Station]]s
*Build 18 [[Operating Table]]s
*Add 11 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*None
|
*None
|-
|Level 43 to 44
|
*Cure 56720 patients
*Build 10 [[Auto Surgeon Station]]s
*Build 18 [[Operating Table]]s
*Add 11 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*Surg-E Patient Spawn Delay: Between 22 hours, 5 minutes and 1 day, 10 minutes
*Surg-E Patient Duration: Between 5 hours, 50 minutes and 7 hours, 50 minutes
|
*None
|-
|Level 44 to 45
|
*Cure 59360 patients
*Build 10 [[Auto Surgeon Station]]s
*Build 18 [[Operating Table]]s
*Add 11 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*None
|
*None
|-
|Level 45 to 46
|
*Cure 62060 patients
*Build 10 [[Auto Surgeon Station]]s
*Build 18 [[Operating Table]]s
*Add 11 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}120
|
*{{ItemLink|Auto Surgeon Station}} capacity +1
*{{ItemLink|Operating Table}} capacity +1
*Surg-E Patient Duration: Between 5 hours, 55 minutes and 7 hours, 50 minutes
|
*None
|-
|Level 46 to 47
|
*Cure 64820 patients
*Build 10 [[Auto Surgeon Station]]s
*Build 18 [[Operating Table]]s
*Add 11 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}130
|
*None
|
*None
|-
|Level 47 to 48
|
*Cure 67640 patients
*Build 11 [[Auto Surgeon Station]]s
*Build 19 [[Operating Table]]s
*Add 11 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}130
|
*Surg-E Patient Spawn Delay: Between 22 hours, and 1 day
*Surg-E Patient Duration: Between 6 hours, and 8 hours
|
*{{ItemLink|Operating Table}} {{x}}1
*{{ItemLink|Auto Surgeon Station}} {{x}}1
|-
|Level 48 to 49
|
*Cure 70520 patients
*Build 11 [[Auto Surgeon Station]]s
*Build 19 [[Operating Table]]s
*Add 11 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}130
|
*Doctor capacity +1
|
*None
|-
|Level 49 to 50
|
*Cure 73460 patients
*Build 11 [[Auto Surgeon Station]]s
*Build 19 [[Operating Table]]s
*Add 12 Doctors
*Reach 4 Rating
Cost: [[World Lock]] {{x}}130
|
*Surg-E Patient Duration: Between 6 hours, 5 minutes and 8 hours
|
*None
|}
====Extra Info About Upgrading Process====
The following formula is used to calculate the cured patients requirement for the hospital leveling system:

<code>'''P = 30*L^2 - 30*L - 40'''</code>

Given that:

*''L'' is the level of the Hospital.
*''P'' is the amount of cured patients required to reach level L.

===Hospital Exclusive Items===
Following items are only obtainable through performing specific actions in a Hospital World:
{{TableHeader}}
|-
|{{ItemLink|Operating Table}}
|rowspan="2"|1 can be obtained from leveling up your hospital.
|-
|{{ItemLink|Auto Surgeon Station}}
|-
|{{ItemLink|Aura of Zen}}
|rowspan=2|{{TableRecipeSurgery|5}}
|-
|{{ItemLink|OmriTheBest's Brain}}
{{TableFooter}}

==Surgery Rewards==
Upon completing the surgery successfully, the player will directly receive a prize. Some of the rewards are rarer than others. If a player receives a common prize, the player will also be rewarded with a [[Caduceus]], which can later be traded in for items when calling the [[Sales-Man]] using a [[Telephone]].

Among the possible prizes are:

* {{Sprite|Surgical Sponge}} [[Surgical Tool|Any Surgical Tool]] (except [[Surgical Love Mallet]]) x5
* {{ItemLink|Scrub Cap}}
* {{ItemLink|Scrub Mask}}
* {{ItemLink|Scrub Top}}
* {{ItemLink|Scrub Pants}}
* {{ItemLink|Candy Striper Cap}}
* {{ItemLink|Candy Striper Uniform}}
* {{ItemLink|Candy Striper Skirt}}
* {{ItemLink|Hospital Wall}} x10
* {{ItemLink|Hospital Window}} x5
* {{ItemLink|Hospital Curtain}} x5
* {{ItemLink|Hospital Door}} x5
* {{ItemLink|Hospital Bed}}
* {{ItemLink|Holographic Sign}}
* {{ItemLink|Antidote}}
* {{ItemLink|Homeopathic Medicine}}
* {{ItemLink|g-Virus}}
* {{ItemLink|Steel Spike}}
* {{ItemLink|Autoclave}}
* {{ItemLink|Cybernetic Eye}}
* {{ItemLink|DNA Processor}}
* {{ItemLink|Techno Visor}}
* {{ItemLink|Skateboard}}
* {{ItemLink|Healing Tome}}
* {{ItemLink|Medical Scarf}}
* {{ItemLink|Edison Zoomster}}
* {{ItemLink|Magnifying Glass}}
* {{ItemLink|Thingamabob}}
* {{ItemLink|Wolf Whistle}}
* {{ItemLink|Legal Briefs}}
* {{ItemLink|Big Chin}}
* {{ItemLink|Safety First Hair}}
* {{ItemLink|Anubis Mail}}
* {{ItemLink|Growmoji Sick Mask}}
* {{ItemLink|Puppy Dog Eyes}}
* {{ItemLink|Pet Doodle}}
* {{ItemLink|Joyful Nurse Cap}}
* {{ItemLink|Wall Sanitizer}}
* {{ItemLink|Hospital Chair}}
* {{ItemLink|First Aid Kit}}
* {{ItemLink|Hospital Trolley}}
* {{ItemLink|Hospital Sign}}
* {{ItemLink|Half-faced Scarf}}
* {{ItemLink|Head Mirror}}
* {{ItemLink|Anatomy Chart}}
* {{ItemLink|Food Chart}}
* {{ItemLink|Rayman's Hair}} (only while the patient wears a [[Pirate Hat]])
* {{ItemLink|Plague Doctor Hat}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Plague Doctor Robe}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Plague Doctor Mask}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Rave Safe Mask}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Biotronic Brain Enhancer}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Spare Body Part}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Mecha Med Shirt}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Mecha Med Pants}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Mecha Med Shoes}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Mecha Med Helmet}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Ambu-Lance}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Think Tank Head}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Vaccine Drop}} (obtainable from curing any [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Punchy Fist}} (only obtainable from curing Torn Punching Muscle [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Gem Hair}} (only obtainable from curing Gem Cuts [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Ice Shard Hair}} (only obtainable from curing Gem Cuts [[Guide:Surgery#Maladies|malady]] whilst [[Growch]]'s heart size is at least 9)
* {{ItemLink|Loving Halo}} (only obtainable from curing Broken Heart [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Widow's Hat}} (only obtainable from curing Broken Heart [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Widow's Makeup}} (only obtainable from curing Broken Heart [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Widow's Corset}} (only obtainable from curing Broken Heart [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Widow's Skirt}} (only obtainable from curing Broken Heart [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Heart Lights}} (only obtainable from curing Broken Heart [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Terrifying Toothface}} (only obtainable from curing Grumbleteeth [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Chicken Feet}} (only obtainable from curing Chicken Feet [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Mean Wolf Block}} (only obtainable from curing Lupus [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Howly Hat}} (only obtainable from curing Lupus [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Snakewolf}} (only obtainable from curing Lupus [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Stitchlips}} (only obtainable from curing Moldy Guts [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Block o' Barf}} (only obtainable from curing Moldy Guts [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Gut Buster}} (only obtainable from curing Moldy Guts [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Steppin' Ghost}} (only obtainable from curing Ecto-Bones [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Ecto-Lock}} (only obtainable from curing Ecto-Bones [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Ghostking's Glory}} (only obtainable from curing Ecto-Bones [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Hands of the Void}} (only obtainable from curing Chaos Infection [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Feet of the Void}} (only obtainable from curing Chaos Infection [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Chaos Corruption}} (only obtainable from curing Chaos Infection [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Scarf of Prometheus}} (only obtainable from curing Chaos Infection [[Guide:Surgery#Maladies|malady]]) 
* {{ItemLink|Cupcake Hat}} (only obtainable from curing Fatty Liver [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Big Belly}} (only obtainable from curing Fatty Liver [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|The Fattenator}} (only obtainable from curing Fatty Liver [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Clockwork Fish}} (only obtainable from curing Brainworms [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Wormtouch}} (only obtainable from curing Brainworms [[Guide:Surgery#Maladies|malady]])

There are also exclusive rewards obtainable from doing a surgery on a player standing on a [[Starship Sickbay Bed]]. The possible prizes are:
*{{ItemLink|Starship Airlock}}
*{{ItemLink|Starship Sickbay Bed}}
*{{ItemLink|Startopian Empire - Uniform Pants}}
*{{ItemLink|Startopian Empire - Uniform Mini-Skirt}}
*{{ItemLink|Startopian Empire - Phase Blaster}}
*{{ItemLink|Nightwings}}
*{{ItemLink|Ceiling Fan}} x5
*{{ItemLink|Waiting Room Chair}} x5
*{{ItemLink|Water Dispenser}} x5

If the player has successfully performed surgery on the patient, the patient will receive 100 [[Gems|gems]], and a random surgery tool or 1-7 [[Vaccine Drop|Vaccine Drops]].

There are also exclusive rewards obtainable from doing a surgery on a [[File:Surg-Bot.png|32px|link=]] Surg-Bot on an [[Operating Table]]. The possible prizes are:
*{{ItemLink|Aura of Zen}}
*{{ItemLink|OmriTheBest's Brain}}

==Event-related Rewards==
These rewards are only given by the player if they complete a surgery successfully during a particular time or event. These prizes are not guaranteed, as the player can also receive normal prizes.

;[[Anniversary Week]]
* {{ItemLink|Fidget Spinner Pinwheel}}
* {{ItemLink|Party Pager Block}}
* {{ItemLink|Disco Head}}

;[[UbiWeek]]
* {{ItemLink|UbiToken}} {{x}}12

;[[Valentine's Week]]
* {{ItemLink|Fancy Flute}}
* {{ItemLink|Pile of Hearts}}
* {{ItemLink|Love Eyes}}
* {{ItemLink|Love Lips}} (only obtainable from curing Love Struck [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Beefy Biceps}} (only obtainable from curing Love Struck [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Cloud Nine Cape}} (only obtainable from curing Love Struck [[Guide:Surgery#Maladies|malady]])
* {{ItemLink|Charmer Smile}} (only obtainable from curing Love Struck [[Guide:Surgery#Maladies|malady]])

;[[St. Patrick's Week]]
* {{ItemLink|Merrow's Tail}}

;[[Grow4Good Week]]
* {{ItemLink|Field Medics Mecha Med Scarf}}
* {{ItemLink|Mechanical Assistance}}
* {{ItemLink|Karaoke Machine}}

;[[Cinco De Mayo Week]]
* {{ItemLink|Comida Crusher}}

;[[Super Pineapple Party]]
* {{ItemLink|Pineapple Engine Part}}

;[[Pegasus Pursuit]]
* {{ItemLink|Pegasus Chest}}

;[[SummerFest]]
* {{ItemLink|Fire Chakram}}
* {{ItemLink|Staff of the Deep}}

;[[Garuda's Glory]]
* {{ItemLink|Garuda Chest}}
* {{ItemLink|Golden Garuda Chest}}

;[[Wonder Week]]
* {{ItemLink|Bling Wings}}
* {{ItemLink|Wyvern Wings}}
* {{ItemLink|Minokawa Wings}}
* {{ItemLink|Soaring Beast}}
* {{ItemLink|Galaxy Cloak}}
* {{ItemLink|Bone Bike}}

;[[Halloween Week]]
* {{ItemLink|Frankenstein's Monster Mask}}
* {{ItemLink|Dancing Zombie}}

;[[WinterFest]]
* {{ItemLink|Tree Decorations}}
* {{ItemLink|Winterfest Carolers}} (only whilst [[Growch]]'s heart size is at least 4)
* {{ItemLink|Winter Flu Vaccine}} (only whilst [[Growch]]'s heart size is at least 5)

==Mods==
*'''Malpractice''' - If the player fails or gives up any surgery, the player is unable to perform surgery for the next hour. This mod can be removed instantly using [[Legal Briefs]]. It is reduced from 1 hour to 15 minutes during [[Surgery Day]]. Equipping a [[Healing Tome]] while the Malpractice mod is active will accelerate the countdown, reducing it to 45 minutes from 1 hour. Additionally, on [[Surgery Day]], the duration is further reduced to 11 minutes and 15 seconds.
*'''Recovering''' - If the player has had surgery performed on them (regardless of failure or success), the player cannot have surgery performed on them for the next four hours (one hour if cured of a malady). Reduced from 2 hours to 1 hour during [[Surgery Day]].

==Events==
===Daily Challenge===
In the [[Daily Challenges|Doctors' Duel Daily Challenge]] (and its respective Guild Challenge), players compete to complete the most successful surgeries in two hours (50 points per surgery and -1 point per tool used).
===Surgery Day===
[[Surgery Day]] is a monthly event where both the [[Mods/Malpractice|''Malpractice'']] (15 minutes instead of 1 hour) and [[Mods/Recovering|''Recovering'']] (1 hour instead of 4 hours) [[Mods|mods]] are shorter than usual. The prizes that can exclusively be obtained during Surgery Day are as follows:
* {{ItemLink|Plague Doctor Hat}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Plague Doctor Robe}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Plague Doctor Mask}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Biotronic Brain Enhancer}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Spare Body Part}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Mecha Med Shirt}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Mecha Med Pants}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Mecha Med Shoes}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Mecha Med Helmet}} (only obtainable during [[Surgery Day]])
* {{ItemLink|Ambu-Lance}} (only obtainable during [[Surgery Day]])

==Surgeon Role==
The [[Role Up!]] update was released on September 17th 2018 as Part 2 of the September Update. The update included roles that can be accessed through the /roles command. Leveling up specific roles will grant the player items. Each day, there will be a specific role that will give extra points and a Growtoken upon completing the first quest.

The following are the quests that can be encountered:
*Complete '''2-5''' Surgeries
*Submit '''2''' Caduceus
*Submit '''20''' Hospital Door
*Submit '''20''' Hospital Window
*Submit '''20''' Hospital Curtain
*Submit '''20''' of a Surgical Tool.

'''Steady Hands''' is the Surgeon Role bonus that can level up as the player progresses their roles.

* '''Level 2:''' 0.5% increase to success chance when using [[Surgery Guide#Tools|Surgery Tools]].
* '''Level 4:''' 1% increase to success chance when using [[Surgery Guide#Tools|Surgery Tools]].
* '''Level 6:''' 1.5% increase to success chance when using [[Surgery Guide#Tools|Surgery Tools]].
* '''Level 8:''' 2% increase to success chance when using [[Surgery Guide#Tools|Surgery Tools]].
* '''Level 10: '''3% increase to success chance when using [[Surgery Guide#Tools|Surgery Tools]].
* '''Level 10:''' Unique Surgeon's Flag and skin.

The following items are earned as the player levels up their Surgeon Role:
{| class="article-table" border="0" cellpadding="1" cellspacing="1"
|-
! width="30%" | Items
! width="70%" | Recipe
|-
|{{ItemLink|EMT Jumpsuit}}
|Reach Surgeon Level 1.
|-
|{{ItemLink|Bio-Waste}}
|Has a chance of being awarded to the player for completing a [[Surgery Guide|Surgery]] after reaching Surgeon Level 3.
|-
|{{ItemLink|Tiled Hospital Wall}}
|Has a chance of being awarded to the player for completing a [[Surgery Guide|Surgery]] after reaching Surgeon Level 4.
|-
|{{ItemLink|Toffee Block}}
|Has a chance of being awarded to the player for completing a [[Surgery Guide|Surgery]] after reaching Surgeon Level 5.
|-
|{{ItemLink|Electrical Power Cube}}
|Has a chance of being awarded to the player for completing a [[Surgery Guide|Surgery]] after reaching Surgeon Level 6.
|-
|{{ItemLink|Operating Theater Lamp}}
|Has a chance of being awarded to the player for completing a [[Surgery Guide|Surgery]] after reaching Surgeon Level 7.
|-
|{{ItemLink|Tiled Staircase}}
|Has a chance of being awarded to the player for completing a [[Surgery Guide|Surgery]] after reaching Surgeon Level 9.
|-
|{{ItemLink|Slip 'n' Slide Slime Floor}}
|Has a chance of being awarded to the player for completing a [[Surgery Guide|Surgery]] after reaching Surgeon Level 10.
|-
|{{ItemLink|Wheelchair Speedster}}
|Reach Surgeon Level 10.
|}

During a Surgeon Day, the points from completing a [[Role Up!/Surgeon|Surgeon]] role quest is increased by 25%. Completing a quest for the first time on that day will reward a [[Growtoken]].

==Angel of Mercy's Wings and Dr. Title==
During the [[Blocktor's Orders! (update)|Blocktor's Orders! update]] on 13 June 2019, the [[Angel of Mercy's Wings]] was added as a prize for successfully completing a vicious malady while equipping a [[Doctor's Blingin' Booties]], [[Doctor's Blingin' Cap]], [[Doctor's Blingin' Cross]], [[Doctor's Blingin' Mask]], [[Doctor's Blingin' Pants]] and [[Doctor's Blingin' Top]], provided that they have completed 2,000 surgeries after the update was released ([[Train-E]]'s do not count). In order to check the amount of surgeries left before obtaining the Angel of Mercy's Wings, one must equip the Doctor's Blingin' set while doing a vicious malady. Afterwards, a system message will appear on the amount of surgeries remaining. This does not consume the set.

To obtain the Dr. Title, the player needs to complete 3,000 surgeries while wearing the [[Angel of Mercy's Wings]] (progress is displayed in the description of the wings, for every surgery done, it counts as an Angelic Healing). This will add "Dr." before the player's name and change the color to red.

==Achievements==
Below are the list of [[Achievements]] that are related to Surgery.
{| border="0" cellspacing="1" cellpadding="1" class="article-table"
|-
! scope="col"|Achievements
! scope="col"|Description
|-
| {{AchievementSprite|49}} <span style="vertical-align:-7px;">'''Surgeon (Classic)'''</span>
| Earned for successfully performing surgery.
|-
| {{AchievementSprite|50}} <span style="vertical-align:-7px;">'''Chief Of Surgery (Classic)'''</span>
| Earned for performing 20 successful surgeries.
|-
| {{AchievementSprite|51}} <span style="vertical-align:-7px;">'''Surgeon General (Classic)'''</span>
| Earned for performing 100 successful surgeries.
|-
| {{AchievementSprite|169}} <span style="vertical-align:-7px;">'''The Doctor'''</span>
| Earned for performing 1,000 successful surgeries.
|-
| {{AchievementSprite|152}} <span style="vertical-align:-7px;">'''Master Surgeon'''</span>
|Earned for reaching level 10 on Surgeon Speciality.
|-
| {{AchievementSprite|132}} <span style="vertical-align:-7px;">'''Bones!'''</span>
| Earned for successfully performing 10 [[Surgery Guide|surgeries]] on a [[Starship Sickbay Bed]].
|-
| {{AchievementSprite|186}} <span style="vertical-align:-7px;">'''Vicious Victory'''</span>
|Earned for successfully curing 50 patients of any Vicious malady.
|-
| {{AchievementSprite|187}} <span style="vertical-align:-7px;">'''Angel of Mercy'''</span>
|Earned for joining the Angels of Mercy.

''To earn this achievement, players must equip the [[Doctor's Blingin' Top]], [[Doctor's Blingin' Pants]], [[Doctor's Blingin' Mask]], [[Doctor's Blingin' Cross]], [[Doctor's Blingin' Cap]] and [[Doctor's Blingin' Booties]] and successfully perform 2000 [[Guide:Surgery|surgeries]].''
|-
| {{AchievementSprite|188}} <span style="vertical-align:-7px;">'''Medical Marvel'''</span>
| Earned for performing 3000 surgeries as the Angel of Mercy.

''To earn this achievement, players must equip the [[Angel of Mercy's Wings]] and successfully perform 3000 [[Guide:Surgery|surgeries]].''
|}

==Additional Tips==
*Before surgery, it is heavily advised that players have enough backpack space to collect their prize. Otherwise, they will fall on the ground, allowing other players to pick them up.
*Using [[Surgical Antibiotics]] successfully, the next three moves will decrease the patient's temperature slowly.
*Using [[Surgical Antiseptic]] is optional. It keeps the patient's temperature from rising, as long the operational site stays clean. 
*It is advised for players with a lower Surgeon Skill to perform easier surgeries. When the player has reached Surgeon Skill 100, they can attempt harder surgeries such as Massive Trauma.
*Using the Fix It button immediately is not required. Players can close up incisions before using the button, reducing the chances of failing. (Doesn't entirely apply with Brainworms [[Guide:Surgery#Maladies|malady]])
*When the patient is losing blood, it is advised to use [[Surgical Anesthetic]] first, then [[Surgical Scalpel]], and finally close the incision with [[Surgical Stitches]] to stop the bleeding. This will minimize [[Surgical Stitches]] usage.
*When the heart stops and ''"It's becoming hard to see..."'' occur at the same time, it is advised to use [[Surgical Sponge]] first (to reduce the skill fail chance), then use [[Surgical Defibrillator]]. However, this method does not work if the patient has more than 3 incisions or is bleeding quickly. This is a common strategy for the Fatty Liver [[Guide:Surgery#Maladies|malady]].
*There are several items one can use that give various side benefits while performing surgery, as seen below:
{| border="0" cellspacing="1" cellpadding="1" style="width:100%;" class="article-table mw-collapsible"
|-
!style="width:20%" |Items
!style="width:30%" |Item Types
!style="width:50%" |Benefits
|-
|{{ItemLink|Healing Tome}}
| Clothing (chest)
| Reduces the cooldown of ''Malpractice'' and ''Recovery'' [[Mods|mods]] by 25%, but doesn't stack with other items with similar effects
|-
|{{ItemLink|Pet Chorizo}}
| Clothing (hand)
| Reduces the cooldown of ''Malpractice'' and ''Recovery'' [[Mods|mods]] by 25%, but doesn't stack with other items with similar effects.
|-
|{{ItemLink|Stethoscope}}
| Clothing (chest)
| Reduces the chance of skill fails by 50%
|-
|{{ItemLink|Exquisite Bone Saw}}
| Clothing (hand)
| Reduces the chance of skill fails by an unknown percentage
|-
|{{ItemLink|Nano Nurse Bot}}
| Clothing (hand)
| Reduces the chance of skill fails by an unknown percentage and grants the chance of not using up a surgical tool
|-
|{{ItemLink|Skill Spice}}
| Consumable
| Reduces the chance of skill fails by 50%
|-
|{{ItemLink|Tea}}
| Consumable
| Reduces the chance of skill fails by 50%, but doesn't stack with other items with a similar effect.
|}

==Trivia==
*Players can talk during surgery by clicking any of the blank tools and quickly pressing the chat button (or the Enter button).
*Players can trade the [[Caduceus]] they earn from receiving common prizes from surgery to the [[Sales-Man]] for rarer items, such as the [[Thingamabob]] and [[Medical Scarf]].
*Successfully performing a Massive Trauma surgery for the first time completes an [[Epic Quests|Epic Quest]].
*Players who get cured of any malady have a small chance to get a rare prize from the respective malady.

==Gallery==
<gallery>
Image0.jpg|Player with Doctor's Title and Angel of Mercy equipped
</gallery>

[[Category:Guides]]
[[Category:Surgery]]
[[id:Panduan:Surgery]]