Surgery

All surgery requires a set of medical tools, typically found in the Operating Theatre, along with an operating table. Should the surgery tools be missing, more can be printed from the techfab in Medbay Storage.

Surgical Tools

Information about every tool used in surgery can be found here.

For every tools there are ghetto analogues. Using them lowers chances of performing a surgical step correctly, wounding your patient. Hover your cursor over the item's picture to see its name. Next to the items are the success rates.

Surgery Success Chances

Surgery success chances follow the following formula: (Surface + Chem - Awake Penalty) * Tool Success Chance

Surface refers to the surface the surgery is taking place on, whether it be an operating table, a bed or even the floor. The highest value will be used when multiple are taken into account (ex: Surgery done to someone on a tile with a bed on it won't have the Surface value be 50%, but instead 70% due to the bed. This applies even if they aren't buckled to the bed).

Chem refers to any applied chemicals sprayed, splashed, dropped, inhaled, or otherwise not intravenously applied onto the patient during the surgery (IV injecting a chemical or injecting it with a syringe will not count towards this value). This will not stack, and will only choose the highest applied chemical value.

Awake Penalty is a penalty given to the surgery should the patient not be sedated. Proper sedation (Anaesthetic or drowsiness onset by morphine) will completely negate this penalty. Painkillers (Miner's Salve, the drink Painkiller) will only halve this penalty.

Tool Success Chance is the chance of success intrinsically tied to a given tool. Surgical grade equipment is generally the best, and ghetto analogues are generally discouraged unless very desperate.

Beginning of any Operation

Step 1: Place the patient onto the operating table (or have them just climb onto the table). Do this by selecting grab intent. Then click the patient twice in a row until you have an aggressive grab. Then left click the operating table to place the patient on it. Switch back to help intent or your surgery will fail.

• If there is no operating table, you can use: stasis bed (80%), any table (80%), any bed (70%), ask them to lie on the floor (50%). Operating tables give a 100% surface value.

Step 2: Exposed the patient's appropriate body part. This could vary from simply having the patient take off their headwear, to having them fully strip (This can be performed at any point in the surgery prior to Step 7, but it's faster that they strip rather than have you slowly strip them).

Step 2: Sedate the patient using a tank of anesthetic and a breath mask or inject them with Morphine. Keeping your patient awake will result in a 50% (100% if the step is failed) chance to cause a minor screw-up, causing damage and a chance for bleeding depending on how intensive the surgery step is. Pain killers such as (and currently only) Miner's Salve and the alcoholic drink Painkiller reduce the chance by half, and being unconscious for any reason reduces it by a fifth. Getting your patient drunk will also offset the slip-up chance depending on how drunk they are. If the patient has a disease containing the symptom Analgesia or the brain trauma Tenacity, they will count as being fully anesthetized.

Step 4: Place drapes or bedsheet over the part of body you are operating.

Step 5: Switch to help intent. Pro tip: Disarm intent will fail every surgery step.

Step 6: Aim at the appropriate body part (important!).

Step 7: Do the surgery (see the steps below!). Afterwards congratulate the patient and kick them out.

Step 7.1 (Optional) Splash on, spray or apply a patch with Miner's Salve (+10%), Sterilizine (+20%), alcoholic drinks (up to +46%), or Honey (+60%) to improve your success chance. This must be done after the surgery has been chosen or during the surgery itself in order for the bonus to be considered.

• The stronger the alcohol, the more effective! The formula is: 0.1*(booze power/65). For example: Ethanol gives +10% success chance, Manly Dorf +15%, Bacchus' Blessing +46%.

• Note that increases from the surface used and chemicals applied are multiplicatively applied to a tool's success chance, so adding sterilizer for a 20% success bonus while operating on an operating table or stasis bed will increase a tool's success chance from for example 80% to 96% rather than 80% to 100%.
• Success boosts from chemicals additionally will not stack with other chemicals, only the highest increase is applied.

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

This surgery covers operations to remove/insert organs (brain, heart, appendix), lizard/cat tails, cyber implants and alien embryos.
The body part to target depends on which procedure you want to do.
See below for details about each procedure.

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3 (Head/Chest only): Circular Saw: Saw through bones	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 6 Remove: Hemostat: Remove something	(55%)
Step 6 Insert: Hands: insert something
Step 7: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Ordinary organs that require Organ Manipulation

These organs are present in every normal human, and can be removed or transferred through the Organ Manipulation surgery type.

Brain

The source of consciousness, and where the player actually resides. Removing the brain from a body will make it unclonable through normal means. The brain can also be inserted into an MMI to allow it to speak, and to prepare it to be inserted into a Cyborg or an AI. Or it can be transferred into another body, which can then be cloned or defibrillated with the new host.

Changelings' brains are vestigial, and they can survive without them. Beheading a changeling will not prevent one from reviving.

Target: Head

Note: Brains can also be removed by beheading the target and using a sharp object on the head to extract the brain.

Note: There's also a non-surgery method to put a brain back in:

Step 1: Place the patient onto the operating table.

Step 2: Cram their brain back into their skull.

Step 3: Usually, you take the body to be cloned (this can be done without step 2).

Heart

Required for basic survival, removing it will cause a heart attack, dealing huge amounts of oxygen damage until a new, beating, heart is inserted, or death. This can be delayed with epinephrine, if you need more time.

On their own, hearts only beat for a short time when removed from a living body. To get a heart beating again, click on it while it's in your hand.

Heart attacks can also be induced by initropidril, and a heart attack may continue if you insert a still heart in a patient. In either case, to restore the heart to normal functionality, the patient needs to either be defibrillated or receive an electric shock.

Target: Chest

Eyes

They're required for sight; removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.

Target: Eyes

Lungs

Required for breathing. Removing the lungs will cause the patient to suffocate, regardless of air or internals. Some species have mutant lungs that don't need air: transplanting them onto an breathing race will transfer this property.

Target: Chest

Tongue

Affects speech. Lacking a tongue will make speech very hard to comprehend, while mutant tongues such as lizards' or flypeoples' will give the patient the race's speech quirks. Abductors' tongues carry over their telepathy, but they prevent normal speech.

Target: Mouth

Appendix

Removing it cures appendicitis and prevents it in the future, too.

Target: Groin

Other organs that require Organ Manipulation

There are also non-natural organs which can be added to give bonuses or to harm the patient in a few cases.

Cybernetic Implants

These offer benefits to the patient at the cost of being very vulnerable to EMPs, with malfunctions ranging from eye-flashing to heart attacks. Cybernetic implants always require the Organ Manipulation type surgery, even for arms. Cybernetic implants can be printed by Robotics or the medbay techfab after research.

Target: Chest/Head/Eyes/Arms

Cybernetic Organs

Cybernetic organs replace organs entirely. You need to remove the corresponding organ first to make room for the cybernetic organ. They are vulnerable to EMPs. Cybernetic organs can be printed by Robotics or the medbay techfab after research.

Target: Chest/Eyes

Xenomorph Embryo

An alien larva growing inside the patient. If not removed quickly enough, it will gib the patient and try to escape, growing into a dangerous Xenomorph.

Target: Chest

Plasma Vessel

Implanting this allows for your plasma count to be raised. It allows you to plant alien weeds and heal from standing on them, and transfer plasma to others.

Target: Chest

Neurotoxin Gland

Implanting this allows for you to spit neurotoxin.

Target: Mouth

Acid Gland

Implanting this allows for you to spit corrosive acid at an object, which will remove it slowly over-time.

Target: Mouth

Hive Node

Implanting this allows for you to speak with others who also have this (using .a). It will also stop NPC xenos from attacking you.

Target: Head

Resin Spinner

Implanting this allows for you to secrete resin to create walls and nests.

Target: Mouth

Egg Sac

Implanting this allows for you to lay xeno eggs.

Target: Groin

Legion Soul

Implanting this will give you a one-time full-heal; if you do not use it manually it will auto-use when you enter crit.

Target: Chest

Romerol Tumor

A latent infection in the patient's head, caused by Romerol. If the patient dies while affected by Romerol, he will eventually rise as an aggressive Zombie. This will repeat as long as the infection lasts; removing it surgically, cutting the head off, or gibbing the corpse will prevent resurrection.

Romerol is infectious, and anyone hit by a zombie while unprotected will also acquire a Romerol Tumor.

Target: Head

Prosthesis Organ Manipulation

Augmented limbs have special surgery steps for Organ Manipulation that are completed with mechanical tools. Unlike all other procedures, this can be performed on yourself with self-surgery.

Target: Head, chest, groin, arms

Procedure	Ghetto Analogues
Step 1: Screwdriver: Unscrew the shell	(75%) (50%) Any other sharp item (30%)
Step 2: Hands: Open the hatch
Step 3: Wrench: Unwrench the bolts	(10%)
Step 4: Multitool: Prepare electronics	(10%)
Step 5: Hemostat: Manipulate organs/remove implant	(65%)
Step 6: Wrench: Wrench the bolts	(10%)
Step 7: Screwdriver: Screw the shell	(75%) (50%) Any other sharp item (30%)

Alien Organ Manipulation

Used to remove or add organs from Xenos.

Procedure	Ghetto Analogues
Step 1: Circular Saw: Saw through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 2: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 3: Retractor: Retract the skin	(45%) (35%)
Step 4: Circular Saw: Saw through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 5 Remove: Hemostat: Remove something	(55%)
Step 5 Insert: Hands: Insert something
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Amputation

Sever a limb from the torso. Tails are handled under Organ Manipulation (groin).

Target: Head, legs, or arms

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 3: Retractor: Retract the skin	(45%) (35%)
Step 4: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 5: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 6: Scalpel or Circular Saw: sever the limb.	(80%) (50%) (40%) (25%) (80%)

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 3: Retractor: Retract the skin	(45%) (35%)
Step 4: Limb/Cyborg limb: Replace the limb
Step 4(Alternative): Chainsaw/Synthetic Arm Blade: Replace the limb with the chosen weapon

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 3: Retractor: Retract the skin	(45%) (35%)
Step 4: Scalpel: Sever the muscles	(55%)
Step 5: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 7: Cyborg limb: Augment the limb

Cavity Implant

Implant/Remove an object in the chest. Items up to normal size can be implanted, but tiny and small items won't show what they are in the implanting messages. Implanting a flashlight allows the patient to toggle it on or off. Implanting grenades is also often done.

Flashlight is commonly implanted

File:Hud target torso.gif Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 3: Retractor: Retract the skin	(45%) (35%)
Step 4: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: Place an item in the cavity / Use your hands to check for items in the cavity
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Prosthesis Cavity Implant

A self-surgery version of the Cavity Implant.

File:Hud target torso.gif Target: Chest

Procedure	Ghetto Analogues
Step 1: Screwdriver: Unscrew shell	(75%) (50%) Any other sharp item (10%)
Step 2: Hands: Open the hatch
Step 3: Multitool: Prepare electronics	(10%)
Step 4: Place an item in the cavity / Use your hands to check for items in the cavity
Step 5: Screwdriver: Screw shell	(75%) (50%) Any other sharp item (10%)

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

File:Hud target torso.gif Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 3: Retractor: Retract the skin	(45%) (35%)
Step 4: Hemostat and Empty Implant Case: Extract the implant	(65%)
Step 5: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Prosthesis Implant Removal

A self-surgery version of the implant removal.

Removes this

File:Hud target torso.gif Target: Chest

Procedure	Ghetto Analogues
Step 1: Screwdriver: Unscrew shell	(75%) (50%) Any other sharp item (10%)
Step 2: Hands: Open the hatch
Step 3: Multitool: Prepare electronics	(10%)
Step 4: Hemostat and Empty Implant Case: Extract the implant	(65%)
Step 5: Screwdriver: Screw shell	(75%) (50%) Any other sharp item (10%)

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: Surgical Drill: Drill a hole in a tooth	(60%) (60%) (20%)
Step 2: Pill/Patch: Insert a pill/patch

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Hemostat: Perform brain surgery (85%)	(35%) (15%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 4: Hemostat: Fix the patient's eyes	(45%) (25%)
Step 5: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Removal of Embedded Objects

Extracts objects stuck in the body such as throwing stars or spears.

Target: Head, chest, legs, or arms

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Remove: Hands: Remove object.

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Scalpel: Alter the patient's appearance	(50%) (35%)
Step 4: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 3: Circular Saw: Cut up the fat	(35%) (25%)
Step 4: Retractor: Remove the fat	(45%) (35%)
Step 5: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Hemostat: extract core.	(100%)

Tend Wounds

Tend Wounds is a repeatable surgery that will heal the entire body of brute damage at the lower tiers but an advanced version can be researched to heal both brute and burn. Step 2 must be repeated until a desired amount of damage is healed

Target: Any

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%)
Step 2: Hemostat: Tend wounds (can be repeated).	(65%) (55%)
Step 5: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Patch Wounds/Treat Burns

Patch Wounds will heal a body part of brute damage. Treat Burns will heal a body part of burn damage. Useful for allowing a body to be defibrillated.

Target: Any

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%)
Step 2: Hemostat: Patch Wounds/Treat Burns	(60%) (35%) (15%)
Step 3: Scalpel: Make an incision	(65%) (45%) (75%)
Step 4: Gauze: Apply some dressing	File:Bandage.png (65%) File:Improv bandage.png (35%)
Step 5: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Coronary Bypass

This surgery is required when the heart has suffered over 60 damage. It will restore it to a functional state (able to be defibrillated and sustain life), and it can only be performed once on an individual heart.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Saw through bones	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Scalpel (90%): Incise the heart	(45%) (25%) (45%)
Step 6: Hemostat (90%) : Graft coronary bypass	(60%) (15%) (5%)
Step 7: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Lobectomy

This surgery is required when the lungs have suffered over 60 damage. It will restore them to a function state, and it can only be performed once per individual set of lungs.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Saw through bones	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Scalpel (95%): Incise the worst lung lobe	(45%) (35%) (65%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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. Requires the "Advanced Surgery" technology.
Target: Head

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Lobotomize (85%): Perform the lobotomy procedure.	(35%) (25%) (55%) Any other sharp item (20%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Experimental Dissection

A surgical procedure which deeply analyzes the biology of a corpse, and automatically adds new findings to the research database. This generates research points for science. Surgery on human corpses give 2000 research points if successful, or 400 points if failed. Other races such as golems, podpeople, abductors, and xenos give more points. Does not work on living patients. Requires the "Advanced Surgery" technology.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 4: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: (60%)Scalpel: Perform dissection	(30%) (15%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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.

DNA recovery

A surgical procedure which involves using rezadone to salvage a single strand of DNA from the patient, allowing them to be cloned.

Target: Head

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Syringe: Recover DNA (requires rezadone)	(30%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Revival

The target is resurrected by this surgery. Unlike normal defibrillation, it works on any non-husked corpse, regardless of how much damage the body has sustained or how long the target has been dead.
If the body has sustained too much damage, it'll die immediately after the revival. You can circumvent this by applying synthflesh or performing Reconstruction beforehand. Requires the "Experimental Surgery" technology.

Target: Head

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 6: Revive: Revive the target	(75%) (60%)
Step 7: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Pacify: Rewire the target's brain	(35%) (15%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Vein Threading

The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the "Experimental Surgery" technology.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 4: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 6: Hands: Thread the veins
Step 7: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Nerve Splicing

Nerves are connected to each other multiple times, halving most stun times. Requires the "Experimental Surgery" technology.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 4: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 6: Hands: Splice nerves
Step 7: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 4: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 6: Hands: Ground nerves
Step 7: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 4: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 6: Hands: Reshape ligaments
Step 7: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 4: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 6: Hands: Reinforce ligaments
Step 7: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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.
Requires the "Experimental Surgery" technology.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 4: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 5: Viral Bond: Force a symbiotic relationship	(50%) (35%) (30%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

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.

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: Bionecrosize: Perform the revival procedure	(35%) (15%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)

Syndicate Surgery

These surgeries require the Syndicate 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. Syndicate surgeries can only be performed on an operating table with a connected operating computer.

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: Scalpel: Make an incision	(65%) (45%) (75%) Any other sharp item (30%)
Step 2: Retractor: Retract the skin	(45%) (35%)
Step 3: Circular Saw: Cut through the bone	(65%) (50%) (50%) (35%) (25%) (75%)
Step 4: Hemostat: Clamp the bleeders	(60%) (35%) (15%)
Step 5: (85%) Brainwash: Perform the brainwashing procedure. Failing will grant brain damage	(50%) (35%) (15%)
Step 6: Cautery: Seal the wound	(90%) (70%) Any other hot item(30%)