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This is a guide to doing surgery! It is advised to have more than ten of each tool to begin surgery especially when coming across difficult surgeries such as Massive Trauma or Deep Brain Tumor. The Surgical Kit is also available in store for 12,000 gems. There is also a Daily Challenge where players compete to complete the most successful surgeries in two hours (50 points per surgery and -1 point per tool used). There is also a Surgery Day where malpractice and recovering are shorter as well as bonus prizes only obtainable during Surgery Day.

Players can perform surgery on other players if they are standing on a Hospital Bed and are not currently recovering. By using the Wrench and clicking "Perform Surgery," they are able to perform surgery on other players. A Surg-E is also available where players can perform surgery without the need of another player.

Skill Fail/Surgeon Skill

Skill Fail is designed to make surgery harder. During surgery, the player may fail to use a tool properly. In the event of a skill fail, the player is required to do that step again before continuing. 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 is part of the learning process to becoming better at surgery. Players with a Surgeon Skill of 100 can still face skill fails, however, the chance is very low (approximately 2%).

The following messages will appear if the player has received a skill fail for a particular tool used:

Tools

These are all the tools required to do surgery. Not each tool is required to complete surgery but it is advised that players carry each tool in case they are required during surgery.

Tool Use
ItemSprites.png Surgical Sponge Used when the surgery screen says "You can't see what you are doing!" In this case, the player is forced to use the Surgical Sponge. Can also be used when it says "It's becoming hard to see."
ItemSprites.png Surgical Splint Used to fix fractures. If the patient has a broken bone, use this to remove it.
ItemSprites.png Surgical Antiseptic Used to clean the operation site. If the operation site is unsanitary, this can be used to make it clean.
ItemSprites.png Surgical Antibiotics Used when the patient has a fever. If the surgery screen says "Patient's fever is climbing," this can be used to lower the temperature.
ItemSprites.png Surgical Anesthetic Used to put a patient to sleep, turning its Awake status to Unconscious. Used before Surgical Scalpel, if not, the player will fail the surgery.
ItemSprites.png Surgical Scalpel Used to cut open the patient. This tool is usually used until the "Fix it" button has appeared. It is also to be used before fixing a shattered bone.
ItemSprites.png Surgical Stitches Used to stop the patient from bleeding or 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.
ItemSprites.png Surgical Lab Kit Used to unlock Surgical Antibiotics. Surgical Antibiotics cannot be used before using this tool.
ItemSprites.png Surgical Clamp Used to clamp up blood vessels. If the patient is losing blood before the "Fix it" button can be used, this tool can be used to stop tthe patient from losing blood. Can only be used if the patient has at least one incision.
ItemSprites.png 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.
ItemSprites.png Surgical Transfusion Used to transfuse a several pints of blood into a patient. When the pulse of a player is weak or extremely weak, this will turn the pulse back to steady or strong.
ItemSprites.png Surgical Ultrasound Used to diagnose a patient. The player will not know what condition the patient has if this is not used. It will reveal physical issues of the patient and other tools needed for the surgery.
ItemSprites.png Surgical Defibrillator Used to shock a patient back to life. If the patient's heart has stopped, this must be given to the patient otherwise surgery cannot continue.

Types of problems

Before conducting any surgery on a patient, all problems before the surgery has begun must be addressed.

  • If the patient is rapidly losing blood, Surgical Stitches must be given to the patient.
  • If the patient has any broken bones, Surgical Splint must be given to the patient.
  • If the patient's heart has stopped, Surgical Defibrillator must be given to the patient. If any surgical skill fail has occurred, the step must be repeated again.

Once all this has been done, the Surgical Ultrasound can be used to find the problem. All steps shown below are to be done AFTER the Surgical Ultrasound displays the problem. If during any of these steps, the patient's heart stops, starts bleeding or any other problem, address these problems using the appropriate tools FIRST before continuing. If the patient wakes up during surgery, use Surgical Anesthetic to put them back to sleep. If any surgical skill fail has occurred, the step must be repeated again.

Problem Steps to fix
Broken Arm Use Surgical Splint to fix the broken bones.
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.
Bird Flu/Turtle Flu/Monkey Flu Use Surgical Lab Kit to unlock Surgical Antibiotics and use until 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 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 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 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 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.
Swallowed a World Lock 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 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 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. If 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 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 Splint to fix all the broken bones. 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. Use Surgical Splint until the patient no longer has any broken bones.
Massive Trauma Use Surgical Splint to fix all the broken bones. 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 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. Use Surgical Splint until the patient no longer has any broken bones.

Other Conditions

During surgery, some patients may have special conditions on top of their problem. This makes the patient harder to perform surgery on and a higher chance of failing. They include:

  • "The patient exhibits very tough skin. Possibly a superhero." - requires an extra use of a Surgical Scalpel before the Fix it button appears.
  • "The patient has an antibiotic-resistant infection." - Surgical Antibiotics reduce the temperature of the patient less.
  • "The patient is absolutely filthy." - requires extra use of Surgical Sponges during surgery to clean up the patient.
  • "The patient is hyperactive." - patient wakes up a little earlier after being giving Surgical Anesthetic.
  • "The patient is a hemophiliac." - the patient will bleed faster than normal.

Rewards

Upon completing surgery, the player will receive a prize upon completing surgery. Majority of the time, the player will receive a common prizes but there are some extremely rare prizes to be won. 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. The possible prizes are:

If the player has successfully performed surgery on the patient, the patient will receive 100 gems.

Mods

  • Malpractice - If the player fails any surgery, the player is unable to do surgery for the next hour.
  • Recovering - If the player has had surgery (failed or not), the player cannot have surgery performed on them for the next four hours.

Additional Info

  • If you need to talk during surgery, click any of the blank tools and press the chat button (or enter button) quickly.
  • If you the player is new to surgery, it is advised for them to do easier surgeries. When player have reached Surgeon Skill 100, they can attempt harder surgeries such as Run over by truck or Massive trauma.
  • Players can trade in Caduceus to the Sales-Man for items such as Thingamabob, Medical Scarf and the Growtoken. They will also receive either a Sales-Man Standee or the Sales Shades.

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