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¶ Surgical Tools
¶ Surgery Speed and Failure
For every tool there are ghetto analogues. The percentages listed next to them show how efficient they are speed wise compared to the basic tools (on TG the percentages used to simply mean success rate until Oct 2019). For example, if it says "50%" the step takes double the time to complete. These percentages stack with the percentage point bonus or malus from using different tables or chemicals.
However, the slowness is capped to 2x the original time the step would have taken. A step that takes 10 seconds would cap at 20 seconds, for example. Every second after that cap will instead add 1 percentage point into the odds of a failure. Failing may cause extra damage or other effects.
So for example:
- Say a surgery step takes 10 seconds by default, but you use a pen (25%) instead of a hemostat and do it on the floor (50%) instead of a surgery table.
- Now the surgery is slowed to 40 seconds, but since it's capped at 20 seconds it takes 20 seconds.
- Those 20 extra seconds that were removed when we capped it to 20 seconds is now your chance to fail.
- Result: The step takes 20 seconds and has a 20% chance to fail.
¶ Beginning of any Operation
Step 1: Undress the part of the patient that needs surgery. You can do this by dragging them onto yourself, and then clicking the clothes you want to remove from them in the pop-up.
- Important: The uniform the patient is wearing usually covers both legs, arms, groin and torso. Helmets, eyewear and masks always obscure the eyes, make sure to remove them if working on the eyes.
Step 2: Place the patient onto the operating table. Do this by grabbing the patient and placing them on the table.
- If there is no operating table, you can use: Stasis bed (-10%), any table (-20%), any bed (-30%), ask them to lie on the floor (-50%). The speed of completing every step will be reduced.
Step 2.1: (Optional) Splash on, spray or apply a patch with Miner's Salve (+10%), Sterilizine (+20%), alcoholic drinks (up to +46%), or Honey(+60%) for faster surgery speed.
- The stronger the alcohol, the more effective! The formula is: 0.1*(booze power/65). For example: Ethanol gives +10% surgery speed, Manly Dorf +15%, Bacchus' Blessing +46%.
Step 2.2: Use a tank of anesthetic and a breath mask to make your patient sleep. This way patient won't experience agonizing pain, decreasing its mood.
Step 3: Place drapes or bedsheet over the part of body you are operating.
- If you done step 1 wrong, it will tell you that you must remove clothing first. If you continue without fixing, you will stab your patient instead of doing surgery.
Step 4: Turn off Combat Mode.
Pro tip: Right click will make you fail every surgery step on purpose.
Step 5: Aim at the appropriate body part (important!).
Step 6: Do the surgery (see the steps below!). Afterwards congratulate the patient and kick them out. Failed steps will autorepeat.
To abort a surgery, hold a cautery in one hand and drapes in the other, and use the drapes on the patient.
¶ Procedures requiring no research or computer
¶ Organ Manipulation
| Remove or Insert organs, from selected bodypart. Includes: Cyber Implant, Alien Embryos, and Regular Organs Target  Head, chest, groin, eyes, mouth |
 Make an incision. |
 45%,  65%,  75% |
||
 Retract the skin. |
 45%,  35% |
|||
 Saw through bone |
 65%,  50%,  35%,  25%,  75% |
|||
 Stop the bleeding |
60%,  35%,  15% |
|||
| Make an incision. |
45%, 65%, 75% |
|||
| Remove Organ or |
 55%,  35% |
|||
 Insert Organ |
||||
 Seal the Wound |
 90%,  70%,  45%,  20% |
|||
¶ Feature Manipulation
| Lets you transfer features to new hosts, effects carry over. Target Head, chest, groin, arms |
Make an incision. |
45%, 65%, 75% |
||
| Retract the skin. |
45%, 35% |
|||
| Remove Feature or |
55%, 35% |
|||
| Insert Feature |
||||
| Seal the Wound |
90%, 70%, 45%, 20% |
|||
¶ Alien Organ Manipulation
| Lets you remove organs from Xenos Target Not needed as Xeno |
Saw through bone |
65%, 50%, 35%, 25%, 75% |
||
| Make an incision. |
45%, 65%, 75% |
|||
| Retract the skin. |
45%, 35% |
|||
| Saw through bone |
65%, 50%, 35%, 25%, 75% |
|||
| Remove Feature or |
55% |
|||
| Insert Feature |
||||
| Seal the Wound |
90%, 70%, 45%, 20% |
|||
¶ Lobectomy
| Removes disfunctional lobe from lungs Requires 60+ Damage Lungs Target Chest |
Make an incision. |
45%, 65%, 75% |
||
| Retract the skin. |
45%, 35% |
|||
| Saw through bone |
65%, 50%, 35%, 25%, 75% |
|||
| Stop the bleeding |
60%, 35%, 15% |
|||
| Cut lobe out. |
25%, 45%, 45% |
|||
| Seal the Wound |
90%, 70%, 45%, 20% |
|||
¶ Coronary Bypass
This surgery is an extended organ manipulation, cutting open the chest cavity and grafting a bypass onto the patient's heart. This restores health to the heart, and makes it operable, if it was not before. Be warned, however, that this surgery can only be done once per heart, and that incising the heart and attaching the graft are not guaranteed successes. Keep bandages on hand in the event of failing the step, which will result in massive amounts of bleeding. Can only be performed if the heart has more than 60 damage (tad past severe damage threshold).
Target: Chest
| Procedure | Ghetto Analogues |
Step 1:Â  Scalpel: make an incision. |
 (65%)Â  (45%)Â  (75%) Any other sharp item (30%) |
Step 2:Â  Retractor: retract the skin. |
 (45%)Â  (35%) |
Step 3Â  Circular Saw: saw through bones. |
 (65%)Â  (50%)Â (50%)Â  (35%)Â  (25%)Â  (75%) Any other sharp item (20%) |
Step 4:Â  Hemostat: clamp the bleeders. |
(60%)Â  (35%)Â  (15%) |
| Step 5:Â Scalpel: incise the heart. (90%) |
(45%)Â (45%)Â (25%) |
| Step 6Â Hemostat: attach heart graft. (90%) |
(35%)Â (15%)Â (5%) |
Step 7:Â  Cautery: seal the wound. |
 (90%)Â  (70%)Â  (45%)Â  (20%) |
¶ Hepatectomy
Removes damaged parts of the liver so that the liver may regenerate properly. A liver healing surgery, similar to Coronary Bypass and Lobectomy. This liver surgery only shows up as an option when liver damage is above 50 and the liver itself is not failing.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3Â Circular Saw: saw through bones. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 4:Â Hemostat: clamp the bleeders. |
(60%)Â (35%)Â (15%) |
| Step 5:Â Scalpel: incise. (90%) |
(45%)Â (45%)Â (25%) |
| Step 6:Â Scalpel: remove damaged liver section. (95%) |
(65%)Â (45%)Â (35%) |
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
Failing the last scalpel step will deal damage to the liver.
¶ Gastrectomy
Removes a piece of your duodenum, attaching your stomach back to your lower intestines. A stomach healing surgery, similar to Coronary Bypass, Lobectomy and Hepatectomy. This surgery will appear only if your stomach has at least 50 damage, and will help you be able to digest food again without disgust.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3Â Circular Saw: saw through bones. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 4:Â Hemostat: clamp the bleeders. |
(60%)Â (35%)Â (15%) |
| Step 5:Â Scalpel: incise. (90%) |
(45%)Â (45%)Â (25%) |
| Step 6:Â Scalpel: remove lower duodenum. (95%) |
(65%)Â (45%)Â (35%) |
| Step 7:Â Hemostat: cauterize lower stomach. |
(60%)Â (35%)Â (15%) |
| Step 8:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
Failing the second scalpel step will damage the stomach further.
¶ Amputation
Sever a limb from the torso. Tails are handled under Feature Manipulation (groin).
Target: Head, legs, or arms
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Circular Saw: cut through the bone. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 5:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 6: Scalpel or Circular Saw: sever the limb. |
(80%)Â (50%)Â (40%)Â (25%)Â (80%) Shears (300%) |
¶ Prosthetic Replacement
Replace a severed limb with either a normal or a robotic limb.
Target: Head, legs or arms
| Procedure | Ghetto Analogues |
| Step 0: Acquire the required limb. | |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4: Limb/Cyborg limb: replace the limb. | |
| Step 4(Alternative): Chainsaw/Synthetic Arm Blade: replace the limb with the chosen weapon. |
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¶ Augmentation
Replace a limb with a robot part. The head, torso, arms, and legs can all be augmented. Augmenting torso makes you immune to appendicitis and xeno larva.
Robot limbs are tougher. They need welding to "heal" brute damage and wires for burn damage, and cannot be otherwise healed. EMP pulses will hurt augmented humans.
Cyborg head
Cyborg torso
Cyborg arm
We can rebuild him. We have the technology.
Target: Head, chest, legs or arms
| Procedure | Ghetto Analogues |
| Step 0: Create the cyborg limb(s) using an Exosuit Fabricator. | |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4: Cyborg limb: augment the limb. |
¶ Cavity Implant
Implant/Remove an object in the chest. Tiny and small items can be implanted. Implanting a flashlight allows the patient to toggle it on or off. Implanting grenades is also often done. You can only have one cavity implant at a time.
Flashlight is commonly implanted
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
Step 5:Â  Place an item in the cavity or use your hands to check for items in the cavity. Repeatable. |
|
| Step 6:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Implant Removal
Extracts mindshield, tracking, chemical, traitor, explosive implants and such. If you don't have an empty implant case in your other hand, the implant will be ruined on extraction!
Removes this
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Hemostat and Empty Implant Case: extract the implant. |
 (65%)Â  (35%) |
| Step 5:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Dental Implant
This allows you to insert pills/patches into a tooth cavity, allowing you to pop it any time to ingest it. This works for both stimulants and suicide pills.
Target: Mouth
| Procedure | Ghetto Analogues |
Step 1:Â  Surgical Drill: Drill a hole in a tooth. |
 (60%)Â  (60%)Â (20%) |
Step 2:Â  Pill/Patch: Insert a pill/patch. |
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¶ Brain Surgery
This procedure cures all severe and basic traumas and reduces brain damage by a large amount. Failing step 5, however, causes hefty brain damage.
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Circular Saw: cut through the bone. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 4:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 5:Â Hemostat: perform brain surgery. Repeatable. (85%) |
(35%)Â  (15%) |
| Step 6:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
Â
¶ Eye Surgery
This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.
Target: Eyes
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%) Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Hemostat: fix the patient's eyes. |
(45%)Â (25%) |
| Step 5:Â Cautery: mend the incision. |
(90%) Â (70%)Â (45%)Â (20%) |
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¶ Plastic Surgery
If the patient's face is damaged and unrecognizable it restores it, otherwise it change the face and identity of the patient.
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Scalpel: alter the patient's appearance. |
(50%)Â (35%) |
| Step 4:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
Â
¶ Lipoplasty
Removes excess fat from the patient. Can only be selected if the patient is fat.
You get this
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 3:Â Circular Saw: cut up the fat. |
(35%)Â (25%) |
| Step 4:Â Retractor: remove the fat. |
(45%)Â (35%) |
| Step 5:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
Â
¶ Revival
The target is resurrected by this surgery. It works on any non-husked corpse with a head, even if it doesn't have a heart. If the body has sustained too much damage, it'll die immediately after the revival. You can circumvent this by applying synthflesh or performing Tend Wounds beforehand.
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Circular Saw: cut through the bone. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 4: Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
Step 6:Â  Revive: revive the target (repeatable). |
 (75%)Â  (60%) |
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Slime Core Removal
Remove core from slime. Step 2 must be repeated for every core if slime has several. Mostly obsolete with existence of slime grinder, but still possible.
A slime
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Hemostat: extract core. |
(100%) |
¶ Filter Blood
Removes reagents from the patient's bloodstream. Doesn't work if the patient is a husk.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
Step 4:Â  Blood filter: Filter blood (95%). Repeatable. |
|
| Step 5:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Stomach Pump
Induces vomiting in a patient, which removes a large portion of ingested reagents from the stomach. Requirements:
- Patient must not be a husk.
- Patient must have reagents in the stomach from eating food.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 4:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 5:Â Hand: pump stomach. Repeatable. |
|
| Step 6:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
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¶ Repair Bone Fracture
Repairs hairline fractures.
Target: Head, chest, legs, or arms
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
Step 2:Â    Bonesetter/bone gel/surgical tape: repair hairline fracture. |
 (30%) |
¶ Repair Compound Fracture
Repairs the most critical type of bone fracture, compound fractures.
Target: Head, chest, legs, or arms
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Bonesetter: reset bone. |
(60%)Â  (40%)Â (20%) |
| Step 5:Â Bone gel/surgical tape: repair compound fracture. |
(50%)Â (30%) |
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¶ Debride Infected Flesh
Repairs burn wounds.
Target: Head, chest, legs, or arms
| Procedure | Ghetto Analogues |
| Step 1:Â Hemostat: excise infection. |
(85%)Â (60%)Â (40%) |
Step 2:Â  Medical gauze/surgical tape: bandage burns. |
Â
¶ Repair Puncture
Repairs pierce wounds. Repeat step 2 and 3 (cycle between them) until healed.
Target: Head, chest, legs, or arms
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Hemostat: realign blood vessels. |
(85%)Â (40%) |
| Step 3:Â Cautery: weld veins. |
(90%)Â (70%)Â (30%) |
| Step 4:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
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¶ Upgradable Surgery
These surgeries are available roundstart but can be upgraded to better or different versions by researching certain nodes and then syncing a connected operating computer.
¶ Tend Wounds
The tend wounds surgeries all share the same steps. They can be upgraded by researching certain nodes, and then syncing the operating computer with research database. There are "bruises", "burn" and "Mixture" versions. By default only "bruises" and "burn" are available. The basic versions of this surgery can be performed anywhere, but the upgraded versions require an operating table with an adjacent and synced operating computer.Â
Â
The target is healed by this surgery, without any chemicals being involved. Useful for healing dead bodies for revival. This works on patients with clothes on, but it's only 55% as effective.Â
Â
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make a careful incision (does not cause damage or bleeding). |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Hemostat: repair damage to the target (automatically repeats until fully healed). |
(65%)Â (55%) |
| Step 3:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
- Step 2 will heal at least 5 damage each time it's repeated, with an added bonus the more damaged the patient is. This the bonus healing becomes higher with higher tiers of research, ranging from (patient's damage / 75) to (patient's damage / 12.5). The bonus is much lower on dead patients.
- Without any research the heal is 5 damage plus a bonus from damage. ("bruises" and "burn" versions only).
- With Improved Wound-Tending Surgery researched and synced, it will heal 5 damage plus a higher bonus from damage ("bruises" and "burn" versions only).
- With Advanced Surgery researched and synced, it will heal 5 damage plus an even higher bonus from damage ("bruises" and "burn" versions only).
- With Advanced Surgery researched and synced, you'll be able to do the "mixture" version (tend physical wounds), which heals 3 brute and burn plus a bonus from damage, but the step takes much shorter time than the other two versions.
- With Experimental Surgery researched and synced, "tend physical wounds" will heal 3 brute and burn plus a better bonus from damage.
- With Alien Surgery researched and synced, "tend physical wounds" will heal 1 brute and burn plus a very high bonus from damage.
- Failing the hemostat step will deal some of the damage it would have healed.
- You can hold a Health Analyzer in your other hand to see your patient's remaining wounds while treating them.
If research was completed in the middle of surgery, you must restart the surgery to get the upgraded version.
¶ Advanced Surgery
These surgeries require the Advanced Surgery research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Advanced surgeries can only be performed on an operating table with a connected operating computer.
¶ Lobotomy
Used to cure deep-rooted brain traumas. This can cause a random, permanent trauma, or if lucky, a random special trauma which gives you rare powers. Note that this can cause traumas regardless of the success of stages. Requires the "Advanced Surgery" technology.Â
Â
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Circular Saw: cut through the bone. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 4: Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 5:Â Lobotomize (85%): perform the lobotomy procedure. |
(35%)Â (25%)Â (55%) Any other sharp item (20%) |
| Step 6:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Wing Reconstruction
A surgical procedure that reconstructs the damaged wings of moth people. The patient must be dosed with any amount of Synthflesh for the last step to work. Requires the "Advanced Surgery" technology.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Hemostat (85%): start wing reconstruction. |
(35%)Â (15%) |
¶ Experimental Surgery
These surgeries require the Experimental Surgery research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Experimental surgeries can only be performed on an operating table with a connected operating computer, or everywhere by medical cyborgs with the surgery computer upgrade if they downloaded the surgery procedure. Borgs should be able to perform the 'Free hand' surgery steps with any tool—if not disabled modules.
¶ Dissection
Dissection is a surgery used for completing the Experiments needed for Biological and Advanced Biological Technology techs, requiring an operating computer and a dead subject (You can steal monkey from geneticist lab or virology). Additionally, gives a 20% surgery speed boost to the corpse. This is mutually exclusive with #Autopsy.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4: Autopsy Scanner: Dissect | |
| Step 5:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Autopsy
Autopsy is a surgery which gives a full paper report on a dead corpse to give the fine details on their death and the state of the body at the time of the autopsy. Additionally, gives a 20% surgery speed boost to the corpse. This is mutually exclusive with #Dissection.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3: Autopsy Scanner: Perform the Autopsy. | |
| Step 4:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Pacification
The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.
Requires the "Experimental Surgery" technology.
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Circular Saw: cut through the bone. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 4: Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 5:Â Pacify: rewire the target's brain. |
(35%)Â (15%) |
| Step 6:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Vein Threading
The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the "Experimental Surgery" technology. Mutually exclusive with Muscled Veins.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 6:Â Hands: thread the veins |
|
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Vein Muscle Membrane
Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology. Mutually exclusive with Vein Muscle Membrane.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 6:Â Hands: shape vein muscles |
|
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Nerve Splicing
Nerves are connected to each other multiple times, greatly reducing stun times (halving them). Requires the "Experimental Surgery" technology. Mutually exclusive with Nerve Grounding.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 6:Â Hands: splice nerves |
|
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Nerve Grounding
Nerves form a safe path for electricity to traverse, making the user nigh immune to all electric shocks. Requires the "Experimental Surgery" technology. Mutually exclusive with Nerve Splicing.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 6:Â Hands: ground nerves |
|
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
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¶ Ligament Hook
Reshapes the connections between torso and limbs, making it so limbs can manually be attached if severed. However this weakens the connection, making limbs easier to detach as well. Requires the "Experimental Surgery" technology. Mutually exclusive with Ligament Reinforcement.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 6:Â Hands: reshape ligaments |
|
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Ligament Reinforcement
Adds a protective tissue and bone cage around the connections between the torso and limbs, preventing dismemberment. However, the nerve connections as a result are more easily interrupted, making it easier to disable limbs with damage. Requires the "Experimental Surgery" technology. Mutually exclusive with Ligament Hook.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 6:Â Hands: reinforce ligaments |
|
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Cortex Imprint
Performing this surgery makes the brain more resilient from basic brain traumas obtained through damage to the brain. You can only choose to either do this OR Cortex Folding, never both.
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 6:Â Hands: imprint cortex. |
|
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Cortex Folding
Performing this surgery gives a higher chance of getting a Special brain trauma through Lobotomy. You can only perform either this one OR Cortex Imprint, never both.
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 6:Â Hands: fold cortex. |
|
| Step 7:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Viral Bonding
The target is forced into a symbiotic relationship with a virus. It makes the virus stay at stage 1 where it's usually harmless, but still infective to others .
Note: The target must already be infected before you can initiate this surgery with the drapes. The target must be dosed with at least 5 units of Virus Food, Formaldehyde, and Spaceacillin for the "Viral Bond" step to work. This surgery will not hide the virus icon from medical huds.Â
Requires the "Experimental Surgery" technology.
Target: Chest
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3: Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 4:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 5:Â Viral Bond: force a symbiotic relationship. |
(50%)Â (35%)Â (30%) |
| Step 6:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Alien Surgery
These surgeries require the Alien Surgery research node, which requires the Alien Technology node, which can only be revealed from deconstructing certain abductor items. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Alien surgeries can only be performed on an operating table with a connected operating computer.
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¶ Brainwashing
The target of this surgery, when successful, is bound to a primary goal you assign to him/her. He/she must follow these objectives, regardless of allegiance. This can be cured through brain surgery or with a mindshield implant. Requires either the brainwashing disk, acquired through the Syndicate Uplink, or researching the "Alien Surgery" technology.
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Circular Saw: cut through the bone. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 4: Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
| Step 5:Â (85%) Brainwash: perform the brainwashing procedure. Failing will cause brain damage. |
(50%)Â (35%)Â (15%) |
| Step 6:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |
¶ Necrotic Revival
Revives a corpse into an infectious zombie which will probably munch your face off. Useful for forcing a shuttle call. Note: The target must be dosed with at least 5 units of Zombie Powder or Rezadone for the "Bionecrosize" step to work. Requires the "Alien Surgery" technology.
Target: Head
| Procedure | Ghetto Analogues |
| Step 1:Â Scalpel: make an incision. |
(65%)Â (45%)Â (75%) Any other sharp item (30%) |
| Step 2:Â Retractor: retract the skin. |
(45%)Â (35%) |
| Step 3:Â Circular Saw: cut through the bone. |
(65%)Â (50%)Â (50%)Â (35%)Â (25%)Â (75%) Any other sharp item (20%) |
| Step 4: Â Hemostat: clamp bleeders. |
(60%)Â (35%)Â (15%) |
Step 5:Â  Bionecrosize: perform the revival procedure. |
(50%) |
| Step 6:Â Cautery: seal the wound. |
(90%)Â (70%)Â (45%)Â (20%) |