Guide:Surgery

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 on November 21, 2013. It introduced a 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 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, 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-Es).

As of 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 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 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 Store for 12,000 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 Store for 45,000 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 Store for 5,000 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.

Tool	Usage and effect
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.
Surgical Splint	Used to fix fractures. If the patient has a broken bone, use this to fix it. This tool is unavailable until Surgical Ultrasound is used.
Surgical Antiseptic	Used to disinfect 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.
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.
Surgical Anesthetic	Used to put a patient to sleep, turning its Awake status to Unconscious. Surgical Scalpel is allowed to be used when the patient is not awake.
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.
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.
Surgical Lab Kit	Used to unlock Surgical Antibiotics. Surgical Antibiotics cannot be used before using this tool.
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. This tool does not completely stop blood loss caused by open incisions, less effective than Surgical Stitches.
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 and Surgical Ultrasound already used.
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.
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.
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.
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.
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.
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.
• 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 site to become dirtier , the pulse to become weaker, and the visibility to become poor. 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.

Problem	Steps to fix
Broken Arm	Use Surgical Splint to fix the broken bones. Use Surgical Stitches to stop the bleeding.
Broken Leg	Put the patient to sleep using Surgical Anesthetic and cut the patient open using a Surgical Scalpel once. Use Surgical Pins to fix any of the shattered bones. Use Surgical Splint to fix the broken bones then finally close the incisions using Surgical Stitches
Bird Flu Turtle Flu Monkey Flu	Use Surgical Lab Kit to unlock Surgical Antibiotics and use until the patient's temperature is no longer rising.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 Splints. If the patient wakes up, use the Surgical Anesthetic again. Close up the incisions using Surgical Stitches and use the Surgical Splints to repair the broken bones.
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.
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.
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.
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.
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.
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 (in this point, it is recommended to start using Surgical Sponge and then use Surgical Defibrillator if patient heart stopped and difficult to see at same time) . Use Surgical Pins twice on the shattered bones then use Surgical Splint until no more broken bones. Use Surgical Stitches until no incisions and then press "Fix It". If "patient's hearts breaks", press "Fix It" then use Surgical Defibrillator. 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.
File:PAW Icon 5.png 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.
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.
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.
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.
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.
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.
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.
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 on 13 June 2019.

Regular Maladies

Regular maladies can be randomly obtained while performing certain actions that pertain to that malady. These actions include:

Maladies	Action
Torn Punching Muscle	Punching
Gem Cuts	Picking up Gems
Broken Heart	Performing Surgeries
Grumbleteeth	File:Chat button.png Chatting
Chicken Feet	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:

Maladies	Reward
Torn Punching Muscle	Punchy Fist
Gem Cuts	Gem Hair Ice Shard Hair (whilst Growch's heart size is at least 9)
Broken Heart	Loving Halo Widow's Hat Widow's Makeup Widow's Corset Widow's Skirt
Grumbleteeth	Terrifying Toothface
Chicken Feet	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 Doctor's Blingin' Set. This can be made easier if the player has a UV Vaccine equipped.

The possible vile vials are:

Vile Vial	Recipe	Reward	Possible reward from curing a vicious malady
Vile Vial - Lupus	Possible bonus reward from completing a WOLFWORLD.	Snakewolf (very rare) Howly Hat (rare) Doctor's Lab Coat (rare) Mean Wolf Block (common)	Doctor's Blingin' Mask
Vile Vial - Moldy Guts	Possible bonus reward from infecting another player with the G-Virus or by infecting people while being a zombie.	Block o' Barf (rare) Gut Buster (rare) Stitchlips (common)	Doctor's Blingin' Booties
Vile Vial - Ecto-Bones	Possible bonus reward from exploding a Spirit Storage Unit.	Ghostking's Glory (very rare) Ecto-Lock (rare) Steppin' Ghost (common)	Doctor's Blingin' Pants
Vile Vial - Chaos Infection	Possible bonus reward from defeating Growlactus.	Hands of the Void (rare) Feet of the Void (rare) Chaos Corruption (very rare) Scarf of Prometheus (very rare)	Doctor's Blingin' Cross
Vile Vial - Fatty Liver	Possible bonus reward from cooking any meal with at least 95% quality.	The Fattenator (very rare) Cupcake Hat (rare) Big Belly (rare)	Doctor's Blingin' Top
Vile Vial - Brainworms	Possible bonus reward from catching a perfect fish.	Clockwork Fish (random chance to get 1lb-200lb) (rare) Wormtouch (very rare)	Doctor's Blingin' Cap

Malady De-Buffs

As of 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:

Malady	Obtainment	Debuff
Torn Punching Muscle	· Punching	· Reduced Punch Damage
Ecto-Bones	· Ghost catching	· Reduced Ghost Catching (by chance of a miss in catching a ghost)
Lupus	· Completing WOLFWORLDs	· Reduced WOLFWORLD time to complete to 8 minutes
Fatty Liver	· Cooking	· Reduced Cooking Quality
Chaos Infection	· Completing Startopia voyages	· Reduced Startopia Success (by higher chances of skill fails)
Moldy Guts	· Killing zombies or infecting people	· Reduced Zombie Hunting & Infection (by chance of a miss in killing a zombie or infecting people)
Chicken Feet	· Walking and jumping	· Reduced Speed & Jump Height
Brainworms	· Fishing	· Reduced Fishing Skill (by chance of a miss in catching a fish)
File:PAW Icon 5.png Grumbleteeth	· Talking	· Reduced Talking
Broken Heart	· Completing a Surgery	· Reduced Surgery Skills (by higher chances of skill fails)
Gem Cuts	· Collecting Gems	· Reduced Gems (by cutting gems received by half when breaking blocks or collecting from ATM Machines)

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!.

Hospitals

Hospitals were introduced to the game as a part of 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:

Levels	Requirements	Perks	Rewards
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 ×10	Operating Table capacity +1 Surg-E Patient Duration: Between 4 hours, 5 minutes and 6 hours	Operating Table ×1 Auto Surgeon Station ×1
Level 2 to 3	Cure 140 Patients Build 1 Auto Surgeon Stations Build 1 Operating Tables Add 1 Doctors Reach 1 Rating Cost: World Lock ×20	None	Operating Table ×1 Auto Surgeon Station ×1
Level 3 to 4	Cure 320 Patients Build 1 Auto Surgeon Station Build 2 Operating Tables Add 2 Doctors Reach 1 Rating Cure 5 Gumbleteeth Malady Cure 5 Chicken Feet Malady Cost: World Lock ×20	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	Operating Table ×1
Level 4 to 5	Cure 560 patients Build 2 Auto Surgeon Stations Build 3 Operating Tables Add 2 Doctors Reach 1 Rating Cost: World Lock ×30	Auto Surgeon Station capacity +1 Operating Table capacity +1 Doctor Capacity +1 Now Auto Surgeon Stations can cure Chaos Malady & Broken Heart Malady	Operating Table ×1 Auto Surgeon Station ×1
Level 5 to 6	Cure 860 patients Build 2 Auto Surgeon Stations Build 4 Operating Tables Add 3 Doctors Reach 1 Rating Cure 5 Broken Heart Malady Cure 5 Brainworms Malady Cost: World Lock ×30	Surg-E Patient Duration: Between 4 hours, 15 minutes and 6 hours, 10 minutes	Operating Table ×1
Level 6 to 7	Cure 1220 patients Build 3 Auto Surgeon Stations Build 5 Operating Tables Add 3 Doctors Reach 2 Rating Cost: World Lock ×40	Operating Table capacity +1 Now Auto Surgeon Stations can cure Brainworms Malady & Moldy Guts Malady	Operating Table ×1 Auto Surgeon Station ×1
Level 7 to 8	Cure 1640 patients Build 3 Auto Surgeon Stations Build 5 Operating Tables Add 3 Doctors Reach 2 Rating Cure 5 Fatty Liver Malady Cure 5 Ecto-Bones Malady Cost: World Lock ×40	Auto Surgeon Station capacity +1 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 Stations Build 6 Operating Tables Add 4 Doctors Reach 2 Rating Cost: World Lock ×50	Now Auto Surgeon Stations can cure Fatty Liver Malady, Ecto-Bones Malady & Lupus Malady	Operating Table ×1
Level 9 to 10	Cure 2660 patients Build 4 Auto Surgeon Stations Build 7 Operating Tables Add 4 Doctors Reach 2 Rating Cure 5 Moldy Guts Malady Cure 5 Chaos Malady Cure 5 Lupus Malady Cost: World Lock ×50	Operating Table capacity +1 Surg-E Patient Duration: Between 4 hours, 25 minutes and 6 hours, 20 minutes	Operating Table ×1 Auto Surgeon Station ×1
Level 10 to 11	Cure 3260 patients Build 4 Auto Surgeon Stations Build 7 Operating Tables Add 4 Doctors Reach 2 Rating Cost: World Lock ×50	Auto Surgeon Station capacity +1 Operating Table capacity +1 Doctor Capacity +1	None
Level 11 to 12	Cure 3920 patients Build 4 Auto Surgeon Stations Build 8 Operating Tables Add 5 Doctors Reach 3 Rating Cost: World Lock ×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 Ecto-Bones Malady that Auto Surgeon Station can cure now require 1 less Surgical Splint	Operating Table ×1
Level 12 to 13	Cure 4640 patients Build 5 Auto Surgeon Stations Build 9 Operating Tables Add 5 Doctors Reach 3 Rating Cost: World Lock ×60	Operating Table capacity +1	Operating Table ×1 Auto Surgeon Station ×1
Level 13 to 14	Cure 5420 patients Build 5 Auto Surgeon Stations Build 9 Operating Tables Add 5 Doctors Reach 3 Rating Cost: World Lock ×70	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 Stations Build 10 Operating Tables Add 6 Doctors Reach 3 Rating Cost: World Lock ×70	None	Operating Table ×1
Level 15 to 16	Cure 7160 patients Build 6 Auto Surgeon Stations Build 10 Operating Tables Add 6 Doctors Reach 3 Rating Cost: World Lock ×70	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	Auto Surgeon Station ×1
Level 16 to 17	Cure 8120 patients Build 6 Auto Surgeon Stations Build 10 Operating Tables Add 6 Doctors Reach 4 Rating Cost: World Lock ×70	None	None
Level 17 to 18	Cure 9140 patients Build 6 Auto Surgeon Stations Build 11 Operating Tables Add 6 Doctors Reach 4 Rating Cost: World Lock ×80	Operating Table capacity +1 Doctor capacity +1 Surg-E Patient Duration: Between 4 hours, 45 minutes and 6 hours, 40 minutes	Operating Table ×1
Level 18 to 19	Cure 10220 patients Build 6 Auto Surgeon Stations Build 11 Operating Tables Add 7 Doctors Reach 4 Rating Cost: World Lock ×80	Auto Surgeon Station capacity +1	None
Level 19 to 20	Cure 11360 patients Build 6 Auto Surgeon Stations Build 12 Operating Tables Add 7 Doctors Reach 4 Rating Cost: World Lock ×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	Operating Table ×1
Level 20 to 21	Cure 12560 patients Build 7 Auto Surgeon Stations Build 12 Operating Tables Add 7 Doctors Reach 4 Rating Cost: World Lock ×80	Operating Table capacity +1	Auto Surgeon Station ×1
Level 21 to 22	Cure 13820 patients Build 7 Auto Surgeon Stations Build 12 Operating Tables Add 7 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 13 Operating Tables Add 8 Doctors Reach 4 Rating Cost: World Lock ×90	Auto Surgeon Station capacity +1 Operating Table capacity +1	Operating Table ×1
Level 23 to 24	Cure 16520 patients Build 7 Auto Surgeon Stations Build 13 Operating Tables Add 8 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 14 Operating Tables Add 8 Doctors Reach 4 Rating Cost: World Lock ×90	None	Operating Table ×1 Auto Surgeon Station ×1
Level 25 to 26	Cure 19460 patients Build 8 Auto Surgeon Stations Build 14 Operating Tables Add 8 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 14 Operating Tables Add 8 Doctors Reach 4 Rating Cost: World Lock ×100	Operating Table capacity +1 Doctor capacity +1	None
Level 27 to 28	Cure 22640 patients Build 8 Auto Surgeon Stations Build 14 Operating Tables Add 9 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 15 Operating Tables Add 9 Doctors Reach 4 Rating Cost: World Lock ×100	Auto Surgeon Station capacity +1	Operating Table ×1
Level 29 to 30	Cure 26060 patients Build 8 Auto Surgeon Stations Build 15 Operating Tables Add 9 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 15 Operating Tables Add 9 Doctors Reach 4 Rating Cost: World Lock ×110	Operating Table capacity +1	Auto Surgeon Station ×1
Level 31 to 32	Cure 29720 patients Build 9 Auto Surgeon Stations Build 15 Operating Tables Add 9 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 16 Operating Tables Add 9 Doctors Reach 4 Rating Cost: World Lock ×110	Doctor capacity +1	Operating Table ×1
Level 33 to 34	Cure 33620 patients Build 9 Auto Surgeon Stations Build 16 Operating Tables Add 10 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 16 Operating Tables Add 10 Doctors Reach 4 Rating Cost: World Lock ×110	Operating Table capacity +1	None
Level 35 to 36	Cure 37760 patients Build 9 Auto Surgeon Stations Build 16 Operating Tables Add 10 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 17 Operating Tables Add 10 Doctors Reach 4 Rating Cost: World Lock ×110	Auto Surgeon Station capacity +1	Operating Table ×1
Level 37 to 38	Cure 42140 patients Build 9 Auto Surgeon Stations Build 17 Operating Tables Add 10 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 17 Operating Tables Add 10 Doctors Reach 4 Rating Cost: World Lock ×120	None	Auto Surgeon Station ×1
Level 39 to 40	Cure 46760 patients Build 10 Auto Surgeon Stations Build 17 Operating Tables Add 10 Doctors Reach 4 Rating Cost: World Lock ×120	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 Stations Build 17 Operating Tables Add 10 Doctors Reach 4 Rating Cost: World Lock ×120	Doctor capacity +1	None
Level 41 to 42	Cure 51620 patients Build 10 Auto Surgeon Stations Build 18 Operating Tables Add 11 Doctors Reach 4 Rating Cost: World Lock ×120	Doctor capacity +1 Surg-E Patient Duration: Between 5 hours, 45 minutes and 7 hours, 40 minutes	Operating Table ×1
Level 42 to 43	Cure 54140 patients Build 10 Auto Surgeon Stations Build 18 Operating Tables Add 11 Doctors Reach 4 Rating Cost: World Lock ×120	None	None
Level 43 to 44	Cure 56720 patients Build 10 Auto Surgeon Stations Build 18 Operating Tables Add 11 Doctors Reach 4 Rating Cost: World Lock ×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 Stations Build 18 Operating Tables Add 11 Doctors Reach 4 Rating Cost: World Lock ×120	None	None
Level 45 to 46	Cure 62060 patients Build 10 Auto Surgeon Stations Build 18 Operating Tables Add 11 Doctors Reach 4 Rating Cost: World Lock ×120	Auto Surgeon Station capacity +1 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 Stations Build 18 Operating Tables Add 11 Doctors Reach 4 Rating Cost: World Lock ×130	None	None
Level 47 to 48	Cure 67640 patients Build 11 Auto Surgeon Stations Build 19 Operating Tables Add 11 Doctors Reach 4 Rating Cost: World Lock ×130	Surg-E Patient Spawn Delay: Between 22 hours, and 1 day Surg-E Patient Duration: Between 6 hours, and 8 hours	Operating Table ×1 Auto Surgeon Station ×1
Level 48 to 49	Cure 70520 patients Build 11 Auto Surgeon Stations Build 19 Operating Tables Add 11 Doctors Reach 4 Rating Cost: World Lock ×130	Doctor capacity +1	None
Level 49 to 50	Cure 73460 patients Build 11 Auto Surgeon Stations Build 19 Operating Tables Add 12 Doctors Reach 4 Rating Cost: World Lock ×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:

P = 30*L^2 - 30*L - 40

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:

Item	Recipe
Operating Table	1 can be obtained from leveling up your hospital.
Auto Surgeon Station
Aura of Zen	1 has a chance to be obtained from performing a surgery on a: •    Surg-Bot on an Operating Table.
OmriTheBest's Brain

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:

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

There are also exclusive rewards obtainable from doing a surgery on a player standing on a Starship Sickbay Bed. The possible prizes are:

• Starship Airlock
• Starship Sickbay Bed
• Startopian Empire - Uniform Pants
• Startopian Empire - Uniform Mini-Skirt
• Startopian Empire - Phase Blaster
• Nightwings
• Ceiling Fan x5
• Waiting Room Chair x5
• Water Dispenser x5

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

There are also exclusive rewards obtainable from doing a surgery on a File:Surg-Bot.png Surg-Bot on an Operating Table. The possible prizes are:

• Aura of Zen
• 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

• Fidget Spinner Pinwheel
• Party Pager Block
• Disco Head

UbiWeek

• UbiToken ×12

Valentine's Week

• Fancy Flute
• Pile of Hearts
• Love Eyes
• Love Lips (only obtainable from curing Love Struck malady)
• Beefy Biceps (only obtainable from curing Love Struck malady)
• Cloud Nine Cape (only obtainable from curing Love Struck malady)
• Charmer Smile (only obtainable from curing Love Struck malady)

St. Patrick's Week

• Merrow's Tail

Grow4Good Week

• Field Medics Mecha Med Scarf
• Mechanical Assistance
• Karaoke Machine

Cinco De Mayo Week

• Comida Crusher

Super Pineapple Party

• Pineapple Engine Part

Pegasus Pursuit

• Pegasus Chest

SummerFest

• Fire Chakram
• Staff of the Deep

Garuda's Glory

• Garuda Chest
• Golden Garuda Chest

Wonder Week

• Bling Wings
• Wyvern Wings
• Minokawa Wings
• Soaring Beast
• Galaxy Cloak
• Bone Bike

Halloween Week

• Frankenstein's Monster Mask
• Dancing Zombie

WinterFest

• Tree Decorations
• Winterfest Carolers (only whilst Growch's heart size is at least 4)
• 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 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 Malpractice (15 minutes instead of 1 hour) and Recovering (1 hour instead of 4 hours) mods are shorter than usual. The prizes that can exclusively be obtained during Surgery Day are as follows:

• Plague Doctor Hat (only obtainable during Surgery Day)
• Plague Doctor Robe (only obtainable during Surgery Day)
• Plague Doctor Mask (only obtainable during Surgery Day)
• Biotronic Brain Enhancer (only obtainable during Surgery Day)
• Spare Body Part (only obtainable during Surgery Day)
• Mecha Med Shirt (only obtainable during Surgery Day)
• Mecha Med Pants (only obtainable during Surgery Day)
• Mecha Med Shoes (only obtainable during Surgery Day)
• Mecha Med Helmet (only obtainable during Surgery Day)
• 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 Tools.
• Level 4: 1% increase to success chance when using Surgery Tools.
• Level 6: 1.5% increase to success chance when using Surgery Tools.
• Level 8: 2% increase to success chance when using Surgery Tools.
• Level 10: 3% increase to success chance when using Surgery Tools.
• Level 10: Unique Surgeon's Flag and skin.

The following items are earned as the player levels up their Surgeon Role:

Items	Recipe
EMT Jumpsuit	Reach Surgeon Level 1.
Bio-Waste	Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 3.
Tiled Hospital Wall	Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 4.
Toffee Block	Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 5.
Electrical Power Cube	Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 6.
Operating Theater Lamp	Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 7.
Tiled Staircase	Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 9.
Slip 'n' Slide Slime Floor	Has a chance of being awarded to the player for completing a Surgery after reaching Surgeon Level 10.
Wheelchair Speedster	Reach Surgeon Level 10.

During a Surgeon Day, the points from completing a 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 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.

Achievements	Description
Surgeon (Classic)	Earned for successfully performing surgery.
Chief Of Surgery (Classic)	Earned for performing 20 successful surgeries.
Surgeon General (Classic)	Earned for performing 100 successful surgeries.
The Doctor	Earned for performing 1,000 successful surgeries.
Master Surgeon	Earned for reaching level 10 on Surgeon Speciality.
Bones!	Earned for successfully performing 10 surgeries on a Starship Sickbay Bed.
Vicious Victory	Earned for successfully curing 50 patients of any Vicious malady.
Angel of Mercy	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 surgeries.
Medical Marvel	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 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 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 malady.
• There are several items one can use that give various side benefits while performing surgery, as seen below:

Items	Item Types	Benefits
Healing Tome	Clothing (chest)	Reduces the cooldown of Malpractice and Recovery mods by 25%, but doesn't stack with other items with similar effects
Pet Chorizo	Clothing (hand)	Reduces the cooldown of Malpractice and Recovery mods by 25%, but doesn't stack with other items with similar effects.
Stethoscope	Clothing (chest)	Reduces the chance of skill fails by 50%
Exquisite Bone Saw	Clothing (hand)	Reduces the chance of skill fails by an unknown percentage
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
Skill Spice	Consumable	Reduces the chance of skill fails by 50%
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 Quest.
• Players who get cured of any malady have a small chance to get a rare prize from the respective malady.

Gallery

• Player with Doctor's Title and Angel of Mercy equipped
  Player with Doctor's Title and Angel of Mercy equipped