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You can place any useful tools on the "patient cart. Insert the last floppy disk received. Grab a spoon and move your hand to the middle. These screenshots are from two different attempts http: Practically Licensed - Complete all procedures. I've been cutting at the kidney's tubes but for some reason, they're not breaking You get the last floppy disk by completing all missions.

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Here, only two, and up to three tools wills be needed to complete the surgery. You should be losing blood at a steady rate. A Robbaz, a famous and amazing youtuber, reference You may have to continually touch the patient's face. Your hand must approach it at a slight angle downward from the default position. If you look closely at the intestines there are red spots: Knife the crap out of the stomach and then immediately knife the crap out of the heart. If the tooth box closes on you, you can open it again without letting go of your tweezers.

The patient doesn't start bleeding until you start hacking away at him. Before you begin, you can clean up your table a little by throwing unnecessary tools on the floor, if you want. It's all about speed, accuracy of cutting to prevent unnecessary blood loss, and blood remaining.

I don't recommend you try going for these until you've beaten the game. World Record 9 seconds by Kloogerwannabe. It's the same exact missions as before except everything is flying around. Sometimes, victory is sometimes purely luck based.

The ambulance bumps can help you out in some cases, like getting out the stupid left kidney. In other cases, your new organs can fly out of the ambulance. Whenever the ambulance is swaying left and right, stop moving for a moment.

If you stab a patient, you may have increased blood loss. When you're done using a tool, and you don't need it anymore, throw it out the ambulance. This is to minimize the amount of tools that can hit your patient.

You should suffer minimum blood loss to the point where you may not need the green needle. Do everything as you would on a normal surgery but do it carefully. Use the hacksaw carefully. Take out the organs. Cut out the stomach carefully.

Cut out the heart carefully. Take out the heart and replace it. Everything must be accurate and quick. Cut out the large intestine. First the right side, since it's more visible, and then the left side. Cut all three points to get the stomach and small intestine out.

Remove the Brown Organ quickly. Your hand must approach it at a slight angle downward from the default position. Stabilize if you're able to. Cut out the kidneys. Stabilize the patient since these next few steps are going to take a while.

Remove the right kidney. Removing the left kidney is a pain in the butt and requires a lot of patience. At this point, your new kidneys may or may not have flown out. It's not worth the time to try to keep them in the ambulance.

Crack open the patient's skull with the bottom of the fire extinguisher. Pull out the brain and expose the nerve. Cut it, remove the old brain, and put in the new brain. There is no need to let go of the new brain when you're installing it.

This is at times, a lot easier than the random craziness of the ambulance mission. Watch out for the floating needles. The zero gravity environment aids in pulling out the old organs. Unfortunately, your tools fly everywhere as well.

Heart - Firstly, close the heart box before the new heart flies out. Grab the saw with the blade touching your forearm or close to your knuckles. Go ape with the hammer on the rib cage. Kidney - Same as the hospital operation but easier.

Pick up your knife and start cutting away. You do not need to let go of your knife until you do not need it anymore. The zero-gravity environment takes all the loose organs away. Because of the environment, this mission is surprisingly easy.

Brain - Pick up the saw, break half of the skull, flip your hand degrees and break the other half of the skull. If not, then you are touching the brain too much or the skull cap too much. You can minimize your touching of the skull by quickly "tapping" the skull with the saw.

Touch brain to loosen it. Poke nerve with sharp object. Slam dunk the new brain in. Be sure you don't wack away the floating kidney knife at the start. Just go for the speed run on one run and the blood run on another run.

Incredible Speedrun in 44 seconds by kloogerwannabe. Complete all the normal surgeries and press the secret code in the space brain mission. The code is In the reception area, put in the alien tape into the VHS player.

If you want a new mission, restart the level, and type in the code again. There are a few new tools, which are the hammer pounding thingy and the sharp ninja star thingy. Total makeover procedure 1.

Remove the rib cage with a hammer. Remove the lower rib cage with a hammer 3. Cut out the blue tubes attached to the blue carrot. If you need to replace that particular organ, only cut out the red. Cut out intestines at two points.

Cut out orange ball at two points. Remove ball cage with circular saw. Cut out stomach, remove stomach. Cut out glowing orange organ, remove glowing orange organ Here's the organ map. You have to touch one end of the new intestine with one of the body intestine openings.

World Record Birgirspallex Grab the bottle with the eyeballs and drop them in any tray that you can easily reach. You can do this by using the hammer and ramming it into the goggles. Or you can use the scissors to cut off the goggles straps, which is what I recommend.

You "cut" the straps off by ramming the tip of your scissors on the straps. Pick up the pencil and ram the pointy end into the eyeball until it gets stuck there. When it is stuck there, you will automatically "let go" of the pencil.

Now, regrab the pencil and pull. The patient will look like it has a crazy eye which is sort of sticking out. Repeat with the other eye. Using a pencil will minimize blood loss. Using a scalpel instead of the pencil is the dumb way, since it will almost guarantee blood loss.

Use a knife and cut the eyeball out. Aim for the eyeball cord halfway. You will lose a lot of blood. You should be losing blood at a steady rate. Grab an eyeball and pick it up with your thumb and forefinger.

Put it in front of an eye socket and gently nudge the eyeball in there. Your hand should get "stuck" inside the socket. Grab another eyeball, jam it into the socket. You do not need to let go, the game will automatically go into victory mode.

Open up one of the blue tooth boxes for future access. Clear all junk off. Pick up the scissors and cut the straps off of the mask. You can flip your hand over to "flip the scissors" over to cut the opposite strap.

Zero blood loss at this point. Remove the mask with your hands. Pick up the hammer. Put the hammer head in the patient's mouth and just slowly grind it back and forth to get rid of the rotten teeth.

You only have to get rid of the visibly rotten teeth. Use the green needle to stop blood loss. Using any drill is a bad idea and works like garbage and makes the patient bleed a lot.

At this point, you should have well above 5, ml of blood. Pick up the tweezers it'll be easier if the the tweezer tips are pointing right and touch any tooth with the tip of your tweezers. Like a magnet, the tooth will automatically be attached to your tweezers.

Put the tweezers with the tooth in the patient's mouth where the rotten teeth were. Automatically the tooth will be placed in place. Repeat until all rotten teeth have been replaced with good teeth. If the tooth box closes on you, you can open it again without letting go of your tweezers.

Use an upward rub with your hand or tweezers on the box lid. I managed to get "You can't handle the tooth! You can position the pick above the rotten tooth and use right click to slowly pivot on and off of the tooth with precision and eventually remove it.

You'll know you hit it when a white toothy chunk flies out. It takes a long time, but it's real easy! These screenshots are from two different attempts http: These surgeries are just like the normal surgeries except you may slam into the door and if you lose an organ or an important tool, you'll be okay!

You can place any useful tools on the "patient cart. When the door slams, it'll get annoying. If you see it, brace for it by not moving for a second. It's really, really difficult: Doctor Doctor, Give me the News - You literally pick up the phone at the main menu.

Flipping the Bird - Give your patient the middle finger. Pinky Spear - Stick your pinky out and touch the patient's ribcage during the heart mission. Shh I Doctor Now - Stick only your forefinger out and touch the patient's face during the heart mission.

A Robbaz, a famous and amazing youtuber, reference You may have to continually touch the patient's face. Vworrp Vworrp - Thanks to Remy. Doctor Who reference Place the new heart in the chest cavity while the old heart is still there.

A timelord has two hearts. I Think I've Got this - Beat the brain mission. You've Got To Be Kid'n'ey! Nigel The Secretary - Answer the phone, and pick up the pen and write on the stationary. What Could Possibly Go Wrong?

Spaaaaaace - Go where no surgeon has gone before. Insert the last floppy disk received. You get the last floppy disk by completing all missions. Practically Licensed - Complete all procedures. During the heart surgery, pick up a scalpel and prod the outlets on the left side.

To drug yourself, pick up the green needle from needle side, not the handle side. What Have I Done?? During the brain surgery, pick up the drill and jam it into the patient's skull and brain.

Hammer Time - Lose 50,ml of blood using the hammer. Go nuts with the hammer on the patient. Keyhole Surgery - Completely remove the rib cage. If you believe your item has been removed by mistake, please contact Steam Support.

This item is incompatible with Surgeon Simulator. Please see the instructions page for reasons why this item might not work within Surgeon Simulator. This item will only be visible to you, admins, and anyone marked as a creator.

This item will only be visible in searches to you, your friends, and admins. Having trouble with surgeries? Just can't seem to remove a certain piece of the patient? Hello, fellow surgeon, and welcome to the Surgeon Simulator Surgery Guide.

This Guide will explain how to complete surgeries without trouble, what tools to use on specific parts of the patient, and the effects of certain events happening during surgery. Whether you're a rookie surgeon, or you have been operating for a while and you need some tips on certain operations, I'm here to help you out.

If you do not want to know what the final surgeries are after space operations, try not to mouse over the spoiler text This item has been added to your Favorites. Balcherite Last Online 8 hrs, 11 mins ago.

Achievements, Gameplay Basics, Walkthroughs. Pizza Cutter Rotary Saw. Heart and Gullet Scalpels. Heart Surgery Quality and Speedrun. During surgery you will notice a few tools. It is important to master these tools to progress forward in your surgery.

Some are easy to use, while others are very difficult. The "useful tools" will be the ones listed. Items that should not be present during real-life surgery will not be listed ie. The Hammer is a straightforward tool used to break and smash open the patient's skull the ribcage.

The Hammer is still useful however, in case you throw away the best tool again, in my opinion for cutting open ribcages. Use it for speedruns. Looks to me like a reskin of the hammer.

This is probably the most useful tool during the heart, maybe brain, and alien surgery. The end of the ribcage, closest to the patient's flesh and farthest from the center, is very vulnerable to this saw's cutting ability.

Sawing these ends of the ribcage will save you minutes of time and help you get a good grade on the heart surgery. Do not let this saw touch the patient's flesh! Use it for quality operations. These two scalpels are the only two useful scalpels for the Heart Surgery.

The Gullet knife is used to cut the esophagus - the knife looks like a pocket knife: If you look closely at the esophagus you can see dark lines near the top and bottom. These are the places you will cut with the gullet knife.

If you cut directly on these lines, it will come off without any blood loss at all! The Heart Scalpel looks like a pocket knife with a longer blade; however, it has a small, stretched ovalish hole in the handle, and one of the areas of the blade, to the right of it, is slightly darker.

Cutting the tubes of the heart with this scalpel will be a breeze. Again, there are small dark lines where you are supposed to cut. You will know that you have successfully removed the heart if it stops beating. Get the pizza cutter rotary saw and saw the ends of the ribcage.

Remove the lungs with your hand. Remove the liver with your hand. Get the Gullet Knife and cut the top and bottom of the esophagus. Remove the stomach and esophagus only if they are blocking the way to the heart.

Get the Heart Scalpel and cut the tubes of the Heart. Remove the old heart. Open the box near the top-right and grab the new heart. Place or drop the new heart in the cavity where the old heart was.

Before you place the heart in to complete the surgery, you can place it upside down and kill the patient. You have completed the Heart surgery! For some of you who like to be master surgeons such as moi I have all 72 of the original achievements, you may have trouble trying to speedrun certain operations or do some under a certain amount of time losing a certain amount of blood.

Here's how to do these two for the heart transplant: As fast as you can, grab the hammer and rub it all over the ribcage. It should break in less than 15 seconds. Rip out the lungs and, if you want, remove the top part of the esophagus to make cutting the heart a bit easier.

Then remove the heart. Toss in the heart not literally and you're done. Just remember, the ribcage is the hardest part. The limits are probably losing only mL of blood under 5 minutes. Since this is the first operation it is the easiest to do for quality.

Follow the procedures you already read at the beginning of this guide. Try to lose a minimal amount of blood by sawing open the ribcage with the circular saw. Be sure to use the right scalpel and don't make Bob bleed.

The intestines block the way to old, withered kidneys. Will the patient be able to pee? Maybe, if you put in two fresh, new ones.

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You can't do both! This may be a pain in the butt when you need to remove that left from your view point kidney! Whenever I say left or right, it is from your view point. The default position for your hand should be: Picking up an object: To pick up something as large or larger than your hand, make sure the object is below the center of your hand, hold down mouse 1 until you are touching the object, and then press and hold AWERSpace.

Picking up a Knife: To pick up a knife, make sure the object is between the fore finger and the thumb, hold down mouse 1 until you are touching the object, and then press and hold AWERSpace.

It may help to pick up objects when your hand is slightly rotated to the left from the default position. For example, the hand circular saw may be easier to use when it is at an angle. Same thing goes for the laser.

If your patient is bleeding a lot, pick up the green needle and stab him with it. If you pick up the green needle with your hand directly above the needle, you will inject yourself and start to hallucinate. To stop the hallucinations, you must inject yourself with the blue needle.

The blue needle is poisonous to the patient.. Preparing for an easier time: The patient doesn't start bleeding until you start hacking away at him. Before you begin, you can clean up your table a little by throwing unnecessary tools on the floor, if you want.

It's all about speed, accuracy of cutting to prevent unnecessary blood loss, and blood remaining. I don't recommend you try going for these until you've beaten the game. World Record 9 seconds by Kloogerwannabe.

It's the same exact missions as before except everything is flying around. Sometimes, victory is sometimes purely luck based. The ambulance bumps can help you out in some cases, like getting out the stupid left kidney.

In other cases, your new organs can fly out of the ambulance. Whenever the ambulance is swaying left and right, stop moving for a moment. If you stab a patient, you may have increased blood loss. When you're done using a tool, and you don't need it anymore, throw it out the ambulance.

This is to minimize the amount of tools that can hit your patient. You should suffer minimum blood loss to the point where you may not need the green needle. Do everything as you would on a normal surgery but do it carefully.

Use the hacksaw carefully. Take out the organs. Cut out the stomach carefully. Cut out the heart carefully. Take out the heart and replace it. Everything must be accurate and quick. Cut out the large intestine. First the right side, since it's more visible, and then the left side.

Cut all three points to get the stomach and small intestine out. Remove the Brown Organ quickly. Your hand must approach it at a slight angle downward from the default position. Stabilize if you're able to.

Cut out the kidneys. Stabilize the patient since these next few steps are going to take a while. Remove the right kidney. Removing the left kidney is a pain in the butt and requires a lot of patience. At this point, your new kidneys may or may not have flown out.

It's not worth the time to try to keep them in the ambulance. Crack open the patient's skull with the bottom of the fire extinguisher. Pull out the brain and expose the nerve. Cut it, remove the old brain, and put in the new brain.

There is no need to let go of the new brain when you're installing it. This is at times, a lot easier than the random craziness of the ambulance mission. Watch out for the floating needles. The zero gravity environment aids in pulling out the old organs.

Unfortunately, your tools fly everywhere as well. Heart - Firstly, close the heart box before the new heart flies out. Grab the saw with the blade touching your forearm or close to your knuckles. Go ape with the hammer on the rib cage.

Kidney - Same as the hospital operation but easier. Pick up your knife and start cutting away. You do not need to let go of your knife until you do not need it anymore. The zero-gravity environment takes all the loose organs away.

Because of the environment, this mission is surprisingly easy. Brain - Pick up the saw, break half of the skull, flip your hand degrees and break the other half of the skull. If not, then you are touching the brain too much or the skull cap too much.

You can minimize your touching of the skull by quickly "tapping" the skull with the saw. Touch brain to loosen it. Poke nerve with sharp object. Slam dunk the new brain in. Be sure you don't wack away the floating kidney knife at the start.

Just go for the speed run on one run and the blood run on another run. Incredible Speedrun in 44 seconds by kloogerwannabe. Complete all the normal surgeries and press the secret code in the space brain mission.

The code is In the reception area, put in the alien tape into the VHS player. If you want a new mission, restart the level, and type in the code again. There are a few new tools, which are the hammer pounding thingy and the sharp ninja star thingy.

Total makeover procedure 1. Remove the rib cage with a hammer. Remove the lower rib cage with a hammer 3. Cut out the blue tubes attached to the blue carrot. If you need to replace that particular organ, only cut out the red.

Cut out intestines at two points. Cut out orange ball at two points. Remove ball cage with circular saw. Cut out stomach, remove stomach. Cut out glowing orange organ, remove glowing orange organ Here's the organ map.

You have to touch one end of the new intestine with one of the body intestine openings. World Record Birgirspallex Grab the bottle with the eyeballs and drop them in any tray that you can easily reach.

You can do this by using the hammer and ramming it into the goggles. Or you can use the scissors to cut off the goggles straps, which is what I recommend. You "cut" the straps off by ramming the tip of your scissors on the straps.

Pick up the pencil and ram the pointy end into the eyeball until it gets stuck there. When it is stuck there, you will automatically "let go" of the pencil. Now, regrab the pencil and pull. The patient will look like it has a crazy eye which is sort of sticking out.

Repeat with the other eye. Using a pencil will minimize blood loss. Using a scalpel instead of the pencil is the dumb way, since it will almost guarantee blood loss. Use a knife and cut the eyeball out. Aim for the eyeball cord halfway.

You will lose a lot of blood. You should be losing blood at a steady rate. Grab an eyeball and pick it up with your thumb and forefinger. Put it in front of an eye socket and gently nudge the eyeball in there. Your hand should get "stuck" inside the socket.

Grab another eyeball, jam it into the socket. You do not need to let go, the game will automatically go into victory mode. Open up one of the blue tooth boxes for future access. Clear all junk off.

Pick up the scissors and cut the straps off of the mask. You can flip your hand over to "flip the scissors" over to cut the opposite strap. Zero blood loss at this point. Remove the mask with your hands. Pick up the hammer.

Put the hammer head in the patient's mouth and just slowly grind it back and forth to get rid of the rotten teeth. You only have to get rid of the visibly rotten teeth. Use the green needle to stop blood loss. Using any drill is a bad idea and works like garbage and makes the patient bleed a lot.

At this point, you should have well above 5, ml of blood. Pick up the tweezers it'll be easier if the the tweezer tips are pointing right and touch any tooth with the tip of your tweezers. Like a magnet, the tooth will automatically be attached to your tweezers.

Put the tweezers with the tooth in the patient's mouth where the rotten teeth were. Automatically the tooth will be placed in place. Repeat until all rotten teeth have been replaced with good teeth. If the tooth box closes on you, you can open it again without letting go of your tweezers.

Use an upward rub with your hand or tweezers on the box lid. I managed to get "You can't handle the tooth! You can position the pick above the rotten tooth and use right click to slowly pivot on and off of the tooth with precision and eventually remove it.

You'll know you hit it when a white toothy chunk flies out. It takes a long time, but it's real easy! These screenshots are from two different attempts http: These surgeries are just like the normal surgeries except you may slam into the door and if you lose an organ or an important tool, you'll be okay!

You can place any useful tools on the "patient cart. When the door slams, it'll get annoying. If you see it, brace for it by not moving for a second. It's really, really difficult: Doctor Doctor, Give me the News - You literally pick up the phone at the main menu.

Flipping the Bird - Give your patient the middle finger. Pinky Spear - Stick your pinky out and touch the patient's ribcage during the heart mission. Shh I Doctor Now - Stick only your forefinger out and touch the patient's face during the heart mission.

A Robbaz, a famous and amazing youtuber, reference You may have to continually touch the patient's face. Vworrp Vworrp - Thanks to Remy. Doctor Who reference Place the new heart in the chest cavity while the old heart is still there.

Then remove the heart. Toss in the heart not literally and you're done. Just remember, the ribcage is the hardest part. The limits are probably losing only mL of blood under 5 minutes. Since this is the first operation it is the easiest to do for quality.

Follow the procedures you already read at the beginning of this guide. Try to lose a minimal amount of blood by sawing open the ribcage with the circular saw. Be sure to use the right scalpel and don't make Bob bleed.

The intestines block the way to old, withered kidneys. Will the patient be able to pee? Maybe, if you put in two fresh, new ones. Here, only two, and up to three tools wills be needed to complete the surgery.

I think it is much easier since you are hopefully more experienced with virtual surgery. The most useful scalpel in this operation. It is very rounded in all locations, even the blade. If you look closely at the intestines there are red spots: After cutting out the large intestine, you can place it around Bob's neck to get an achievement!!

However, it must be not visible, so under the covers. So the stomach seems to regenerate. Back when you cut it out if you did in the heart surgery, it made squishy noises and the like.

If you want, you can cut out the stomach to make access to the right kidney a little easier. The Kidney Knife is easy to remember since it looks like a hollow kidney with a blade at the end. Cut the ends of the yellow tube attached to the kidneys.

However if you notice the left kidney, there is a green structure that seemingly can't be removed. It is the gall bladder, and to my knowledge, cannot be removed. It is really annoying for the left kidney.

Grab the gut scalpel and cut in the areas shown above circled in blue. Remove the portion of the ribcage sticking out. Grab the kidney knife and remove the kidneys. Remove the liver for some stretching, smushing, squashy noises!

Find a way to move the kidneys out of the way, whether it's using a spoon or by using a large tool to flick it out. Grab the new kidneys and place them in the holes. If you grabbed the left kidney from the box, put it in the left hole, just in case.

I have not tested putting them in the opposite places; notify me in comments if you can. They seem to be out of reach, so this is what I do: Get a spoon and spoon it out. Most of the time, with correct grip, it'll work.

You'll have to be patient and master it! Then take chuck the intestines out at his face or whatevs, and using the same scalpel it takes a precious 5 seconds to get another one stab the stomach out. Then stab the kidneys with the kidney knife in their "cut" locations, and move them out with the spoon or the kidney knife if you can.

Chuck the remaining organs out of his body and drop in the new kidneys carefully. My record for the kidney transplant is mL remaining in 3: This operation is a fairly easy one and you should not lose blood. The method you are using is the same you read when you did the kidney transplant for the first time; use the gut scalpel carefully and remove the kidneys.

I assume the limit is mL in under 4 minutes. Probably the funniest transplant in surgeon simulator. The quality runs are difficult and the speedruns are easy. Remember the spoiler text where the hammer broke open the patient's skull?

Yep, it's gonna be useful now for speedruns. Anyhoozers, the brain transplant is my favorite of them all probably because I want to be a neurosurgeon because it's easy and funny. The hammer is great for exploding half of the patient's skull off.

Using it right can save you half a minute in time of speedrunning. However, the hammer causes tons of blood loss and should be used for speedruns only, unless you just wanna go back to the old times and smash off his skull millions of times.

The most awful, enraging, horrible tool. Not only is the laser extremely difficult to use, it only serves one purpose: I spent days upon days trying to master this, until I finally did it.

The laser is extremely difficult to use because it can cause a LOT of bleeding. However, it does not affect blood loss when used in the right place. The laser is found at the top right of the transplant in a machine.

It should be used only for quality transplants by burning the skull off, which takes a long time. Be careful not to scrape the brain, as it does major damage and could jeopardize the current quality run.

This tool is extremely difficult to learn and even more difficult to master. Beep Beep Banana Bus 28 Jan 2: Balcherite it takes much more than 2 hearts to be a timemlord. I can't even laser them. That kidney knife is useless on them.

Gone Untill Sunday 24 Sep, 5:

Pick up your knife and start cutting away. You do not need to let go of your knife until you do not need it anymore. The zero-gravity environment takes all the loose organs away. Because of the environment, this mission is surprisingly easy.

Brain - Pick up the saw, break half of the skull, flip your hand degrees and break the other half of the skull. If not, then you are touching the brain too much or the skull cap too much. You can minimize your touching of the skull by quickly "tapping" the skull with the saw.

Touch brain to loosen it. Poke nerve with sharp object. Slam dunk the new brain in. Be sure you don't wack away the floating kidney knife at the start. Just go for the speed run on one run and the blood run on another run. Incredible Speedrun in 44 seconds by kloogerwannabe.

Complete all the normal surgeries and press the secret code in the space brain mission. The code is In the reception area, put in the alien tape into the VHS player. If you want a new mission, restart the level, and type in the code again.

There are a few new tools, which are the hammer pounding thingy and the sharp ninja star thingy. Total makeover procedure 1. Remove the rib cage with a hammer. Remove the lower rib cage with a hammer 3. Cut out the blue tubes attached to the blue carrot.

If you need to replace that particular organ, only cut out the red. Cut out intestines at two points. Cut out orange ball at two points. Remove ball cage with circular saw. Cut out stomach, remove stomach.

Cut out glowing orange organ, remove glowing orange organ Here's the organ map. You have to touch one end of the new intestine with one of the body intestine openings. World Record Birgirspallex Grab the bottle with the eyeballs and drop them in any tray that you can easily reach.

You can do this by using the hammer and ramming it into the goggles. Or you can use the scissors to cut off the goggles straps, which is what I recommend. You "cut" the straps off by ramming the tip of your scissors on the straps.

Pick up the pencil and ram the pointy end into the eyeball until it gets stuck there. When it is stuck there, you will automatically "let go" of the pencil. Now, regrab the pencil and pull. The patient will look like it has a crazy eye which is sort of sticking out.

Repeat with the other eye. Using a pencil will minimize blood loss. Using a scalpel instead of the pencil is the dumb way, since it will almost guarantee blood loss. Use a knife and cut the eyeball out. Aim for the eyeball cord halfway.

You will lose a lot of blood. You should be losing blood at a steady rate. Grab an eyeball and pick it up with your thumb and forefinger. Put it in front of an eye socket and gently nudge the eyeball in there.

Your hand should get "stuck" inside the socket. Grab another eyeball, jam it into the socket. You do not need to let go, the game will automatically go into victory mode. Open up one of the blue tooth boxes for future access. Clear all junk off.

Pick up the scissors and cut the straps off of the mask. You can flip your hand over to "flip the scissors" over to cut the opposite strap. Zero blood loss at this point. Remove the mask with your hands.

Pick up the hammer. Put the hammer head in the patient's mouth and just slowly grind it back and forth to get rid of the rotten teeth. You only have to get rid of the visibly rotten teeth. Use the green needle to stop blood loss.

Using any drill is a bad idea and works like garbage and makes the patient bleed a lot. At this point, you should have well above 5, ml of blood. Pick up the tweezers it'll be easier if the the tweezer tips are pointing right and touch any tooth with the tip of your tweezers.

Like a magnet, the tooth will automatically be attached to your tweezers. Put the tweezers with the tooth in the patient's mouth where the rotten teeth were. Automatically the tooth will be placed in place. Repeat until all rotten teeth have been replaced with good teeth.

If the tooth box closes on you, you can open it again without letting go of your tweezers. Use an upward rub with your hand or tweezers on the box lid. I managed to get "You can't handle the tooth! You can position the pick above the rotten tooth and use right click to slowly pivot on and off of the tooth with precision and eventually remove it.

You'll know you hit it when a white toothy chunk flies out. It takes a long time, but it's real easy! These screenshots are from two different attempts http: These surgeries are just like the normal surgeries except you may slam into the door and if you lose an organ or an important tool, you'll be okay!

You can place any useful tools on the "patient cart. When the door slams, it'll get annoying. If you see it, brace for it by not moving for a second. It's really, really difficult: Doctor Doctor, Give me the News - You literally pick up the phone at the main menu.

Flipping the Bird - Give your patient the middle finger. Pinky Spear - Stick your pinky out and touch the patient's ribcage during the heart mission. Shh I Doctor Now - Stick only your forefinger out and touch the patient's face during the heart mission.

A Robbaz, a famous and amazing youtuber, reference You may have to continually touch the patient's face. Vworrp Vworrp - Thanks to Remy. Doctor Who reference Place the new heart in the chest cavity while the old heart is still there.

A timelord has two hearts. I Think I've Got this - Beat the brain mission. You've Got To Be Kid'n'ey! Nigel The Secretary - Answer the phone, and pick up the pen and write on the stationary. What Could Possibly Go Wrong?

Spaaaaaace - Go where no surgeon has gone before. Insert the last floppy disk received. You get the last floppy disk by completing all missions. Practically Licensed - Complete all procedures.

During the heart surgery, pick up a scalpel and prod the outlets on the left side. To drug yourself, pick up the green needle from needle side, not the handle side. What Have I Done?? During the brain surgery, pick up the drill and jam it into the patient's skull and brain.

Hammer Time - Lose 50,ml of blood using the hammer. Go nuts with the hammer on the patient. Keyhole Surgery - Completely remove the rib cage. Use the hand circular saw. If your patient is losing too much blood, stop stabbing him in random areas and use the green needle on him.

Do everything I said in the guide except really fast. During the kidney transplant, take the patient's long red intestine and place it on their neck. Wait a minute until the achievement unlocks. If it doesn't unlock, try replacing it again.

Brainstorm - Perform a brain transplant in an ambulance in under 1 minute 15 seconds. Life's Too Short - Perform a heart transplant in an ambulance in under 2 minutes 30 seconds. You can use the circular hand saw for this.

A Team Fortress 2 Reference. During the brain surgery, pick up the laser tool on the upper right side of the right table. It's the black thing. Shoot the laser on both of the patient's eyes.

Use the hacksaw and be sloppy. Sweet Blasphemy - Perform a brain transplant losing less than ml of blood. One With The Speed Bumps - Perform a heart transplant in an ambulance losing less than ml of blood. Mother Hen - Don't lose any tools out of the back of the ambulance.

Beat the heart ambulance mission as fast as you can. Use the hammer to mess up the rib cage. Knife the crap out of the stomach and then immediately knife the crap out of the heart. I have beaten the brain mission in 32 seconds and it seems to me that either the achievement is broken for this mission or the ambulance floor is considered "out.

Nigel You Bloody Hero - Perform a brain transplant in an ambulance losing less than ml of blood. Must be drugged within 10 secs. Pick up the green needle from the needle side within the first 10 seconds of your surgery.

Like An Animal - Throw everything on the floor in the brain transplant surgery. Surgetricity - Complete a procedure after being electrocuted. Must be electrocuted within 10 secs. Within the first ten seconds of surgery, pick up a knife and stab the outlet in the upper left corner on the left table heart surgery.

Now go save lives! Must be afflicted within 20 secs. Pick up the green needle by the needle side and then stab the outlet with a knife. Butter Fingers - Lose every organ out of the back of the ambulance during the heart transplant.

Frikkin' Lasers - Complete a procedure using only the surgical laser. Brain surgery is the easiest. I'm Sure He'll Live - Complete a procedure with less than 10ml of blood remaining. Just before you are about to complete a procedure, let a patient bleed out until he's at ml.

Then stab him with the green needle to stabilize him. Wait or wound the patient until they're below 10ml. Then complete the last step of your procedure. Pick up the small heart from inside the refrigerator, align your hand with the heart so that it is in front of the bird, and make sure the heart is upwards.

Hurl your arm upwards and release your grip as the arm is being hurled. It should hit the bird. Check my guide TF2 Mission section. Call Trisha - Now where did you leave her number In the reception area, punch in into the phone.

Remove the lungs with your hand. Remove the liver with your hand. Get the Gullet Knife and cut the top and bottom of the esophagus. Remove the stomach and esophagus only if they are blocking the way to the heart. Get the Heart Scalpel and cut the tubes of the Heart.

Remove the old heart. Open the box near the top-right and grab the new heart. Place or drop the new heart in the cavity where the old heart was. Before you place the heart in to complete the surgery, you can place it upside down and kill the patient.

You have completed the Heart surgery! For some of you who like to be master surgeons such as moi I have all 72 of the original achievements, you may have trouble trying to speedrun certain operations or do some under a certain amount of time losing a certain amount of blood.

Here's how to do these two for the heart transplant: As fast as you can, grab the hammer and rub it all over the ribcage. It should break in less than 15 seconds. Rip out the lungs and, if you want, remove the top part of the esophagus to make cutting the heart a bit easier.

Then remove the heart. Toss in the heart not literally and you're done. Just remember, the ribcage is the hardest part. The limits are probably losing only mL of blood under 5 minutes. Since this is the first operation it is the easiest to do for quality.

Follow the procedures you already read at the beginning of this guide. Try to lose a minimal amount of blood by sawing open the ribcage with the circular saw. Be sure to use the right scalpel and don't make Bob bleed.

The intestines block the way to old, withered kidneys. Will the patient be able to pee? Maybe, if you put in two fresh, new ones. Here, only two, and up to three tools wills be needed to complete the surgery. I think it is much easier since you are hopefully more experienced with virtual surgery.

The most useful scalpel in this operation. It is very rounded in all locations, even the blade. If you look closely at the intestines there are red spots: After cutting out the large intestine, you can place it around Bob's neck to get an achievement!!

However, it must be not visible, so under the covers. So the stomach seems to regenerate. Back when you cut it out if you did in the heart surgery, it made squishy noises and the like.

If you want, you can cut out the stomach to make access to the right kidney a little easier. The Kidney Knife is easy to remember since it looks like a hollow kidney with a blade at the end. Cut the ends of the yellow tube attached to the kidneys.

However if you notice the left kidney, there is a green structure that seemingly can't be removed. It is the gall bladder, and to my knowledge, cannot be removed. It is really annoying for the left kidney. Grab the gut scalpel and cut in the areas shown above circled in blue.

Remove the portion of the ribcage sticking out. Grab the kidney knife and remove the kidneys. Remove the liver for some stretching, smushing, squashy noises! Find a way to move the kidneys out of the way, whether it's using a spoon or by using a large tool to flick it out.

Grab the new kidneys and place them in the holes. If you grabbed the left kidney from the box, put it in the left hole, just in case. I have not tested putting them in the opposite places; notify me in comments if you can.

They seem to be out of reach, so this is what I do: Get a spoon and spoon it out. Most of the time, with correct grip, it'll work. You'll have to be patient and master it! Then take chuck the intestines out at his face or whatevs, and using the same scalpel it takes a precious 5 seconds to get another one stab the stomach out.

Then stab the kidneys with the kidney knife in their "cut" locations, and move them out with the spoon or the kidney knife if you can. Chuck the remaining organs out of his body and drop in the new kidneys carefully.

My record for the kidney transplant is mL remaining in 3: This operation is a fairly easy one and you should not lose blood. The method you are using is the same you read when you did the kidney transplant for the first time; use the gut scalpel carefully and remove the kidneys.

I assume the limit is mL in under 4 minutes. Probably the funniest transplant in surgeon simulator. The quality runs are difficult and the speedruns are easy. Remember the spoiler text where the hammer broke open the patient's skull?

Yep, it's gonna be useful now for speedruns. Anyhoozers, the brain transplant is my favorite of them all probably because I want to be a neurosurgeon because it's easy and funny. The hammer is great for exploding half of the patient's skull off.

Using it right can save you half a minute in time of speedrunning.

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Not only is the laser extremely difficult to use, it only serves one purpose: It is the gall bladder, and to my knowledge, cannot be removed. The method you are using is the same you read when you did the kidney transplant for the first time; use the gut scalpel carefully and remove the kidneys. Here's the organ map. In the alien mission, pick up the hammer and bash all the canisters. If you stab a patient, you may have increased blood loss. The code is







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At this point, your new kidneys may or may not have flown out. Enter the standard kidney surgery 2 spoons. Use a hammer to bash open the skull. Get the Heart Scalpel and cut the tubes of the Heart. Pinky Spear - Stick your pinky out and touch the patient's ribcage during the heart mission.



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The Hammer is still useful however, in case you throw away the best tool again, in my opinion for cutting open ribcages. For example, the hand circular saw may be easier to use when it is at an angle. Like An Animal - Throw everything on the floor in the brain transplant surgery. Try to lose a minimal amount of blood by sawing open the ribcage with the circular saw. Just go for the speed run on one run and the blood run on another run. Poke nerve with sharp object. Your hand should get "stuck" inside the socket.

 

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