All surgery requires the set of medical tools in the Operating Theatre, along with a table (a surgical table gives no negative results). For the most part, only medical doctors and the Chief Medical Officer can perform advanced surgery.

Surgical Tools

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

Surgical Procedures

For every step there are ghetto analogues. Using them lowes chances of performing a step correctly, wounding your patient. Hover your cursor over the item's name to see the chances.

General

Step 1: Place the patient onto the operating table.

Step 1.5: Use a tank of anesthetic and a breath mask to make your patient sleep. (Optional)

Step 2: Switch to help intent.

Step 3: Place drapes or bedsheet over the part of body you are operating.

Step 4: Do the surgery.

Step 5: Wake up the patient and kick them out.

Eye Surgery

Fixing blindness.

Procedure	Ghetto analogues
Step 1: Drapes over the patient's eyes.	Bedsheet
Step 2: Scalpel: cut the skin around the eyes.	Kitchen knife (65%) Shard (45%)
Step 3: Retractor: lift up the eyes.	Screwdriver (45%) Wirecutters (35%)
Step 4: Hemostat: stop any potential bleeding.	Wirecutters (60%) Cable (15%)
Step 5: Hemostat: fix the patient's eyes.	Screwdriver (45%) Pen (25%)
Step 6: Cautery: seal the wound.	Welding tool (70%) Lighter (45%) Match (20%)

Brain Surgery

The nerds next door may be doing rocket science, but hey, it's not exactly brain surgery.

Procedure	Ghetto analogues
Step 1: Drapes over the patient's head.	Bedsheet
Step 2: Scalpel: cut back the flesh.	Kitchen knife (65%) Shard (45%)
Step 3: Hemostat: clamp bleeders.	Wirecutters (60%) Cable (15%)
Step 4: Retractor: retract tissue.	Screwdriver (45%) Wirecutters (35%)
Step 5: Saw: cut through the skull.	Hatchet (35%) Butcher's Knife (25%) Arm blade (75%)
Step 6: Hemostat: Extract the brain.	Crowbar (55%)

Putting 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.

Xenomorph Brain Surgery

Procedure	Ghetto analogues
Step 1: Drapes over the patient's head.	Bedsheet
Step 2: Saw: cut through the skull.	Hatchet (35%) Butcher's Knife (25%) Arm blade (75%)
Step 3: Scalpel: cut back the flesh.	Kitchen knife (65%) Shard (45%)
Step 4: Retractor: retract tissue.	Screwdriver (45%) Wirecutters (35%)
Step 5: Saw: cut through the skull.	Hatchet (35%) Butcher's Knife (25%) Arm blade (75%)
Step 6: Hemostat: Extract the brain.	Crowbar (55%)

Implant Removal

Procedure	Ghetto analogues
Step 1: Drapes over patient's chest.	Bedsheet
Step 2: Scalpel: cut back the flesh.	Kitchen knife (65%) Shard (45%)
Step 3: Hemostat: clamp bleeders.	Wirecutters (60%) Cable (15%)
Step 4: Retractor: retract tissue.	Screwdriver (45%) Wirecutters (35%)
Step 5: Hemostat: extract the implant.	Crowbar (60%)
Step 6: Cautery: seal the wound.	Welding tool (70%) Lighter (45%) Match (20%)

Appendectomy

If it's useless, tear it out.

Step 2: Place drapes over the patient's groin.

Step 3: Aim for the patient's groin, and cut the skin with your scalpel.

Step 4: Use your hemostat to clamp any bleeders.

Step 5: Use your retractor to open the incision.

Step 6: Use your scalpel to sever the appendix.

Step 7: Use your BARE HANDS to pull out the appendix.

Step 7.5: Dispose of the newly extracted appendix / eat the appendix / force feed it to the patient. (Optional)

Step 8: Cauterize the wound with the cautery.

Xenomorph Removal

GET IT OUT OF ME!!

Step 2: Place drapes over the patient's chest.

Step 3: Use your scalpel to cut through the chest.

Step 4: Use your retractor to retract the skin.

Step 5: Use your saw to cut through the chest.

Step 6: Use your hemostat to pull out the larva.

Step 7: Close the wound with cautery.

Lipoplasty

Why did I eat three whole pizzas?

Step 2: Place drapes over the patient's chest.

Step 3: Use your scalpel to cut through the chest.

Step 4: Clamp bleeders with the hemostat.

Step 5: Slice up the fat with the saw.

Step 6: Remove the fat with the retractor

Step 7: Close the wound with cautery.

Plastic Surgery

I need to disappear forever!

Step 2: Place drapes over the patient's head to prepare for plastic surgery.

Step 3: Use your scalpel to make an incision in the head.

Step 4: Use your retractor to retract the skin around the incision.

Step 5: Use your scalpel to alter the patient's appearance.

Step 6: Use your cautery to mend the incision you made.

Gender Reassignment

For when something other than xeno scum is trapped in your body.

Step 2: Place drapes over the patient's groin.

Step 3: Use your scalpel to cut through the groin.

Step 4: Clamp bleeders with the hemostat.

Step 5: Use the scalpel to carefully reshape the patient's... body. ***This actually applies their body-weight in estrogen or testosterone instantly, the scalpel acts as a giant syringe in this case.

Step 6: Close the wound with cautery.

Step 7: Perform plastic surgery to acquire a new gender appropriate name (Optional)

Cavity Implant

My god, he's a ticking timebomb!

Step 2: Place drapes over the patient's chest.

Step 3: Use your scalpel to cut through the chest.

Step 4: Clamp bleeders with the hemostat.

Step 5: Use your retractor to pull back the skin.

Step 6: Use your scalpel to cut through to a cavity.

Step 7: Carefully place an item in the cavity / Use your hands to check for items in the cavity.

Step 8: Close the wound with cautery.

Augmentation

We can rebuild him... We have the technology.

Note: The head, torso, arms, and legs can all be augmented.

Procedure	Ghetto analogues
Step 0: Create the cyborg limb(s) using an exosuit fabricator.
Step 1: Drapes over the limb you want to augment.	Bedsheet
Step 2: Scalpel: cut back the skin.	Kitchen knife (65%) Shard (45%)
Step 3: Hemostat: clamp bleeders.	Wirecutters (60%) Cable (15%)
Step 4: Retractor to pull back the skin.	Screwdriver (45%) Wirecutters (35%)
Step 5: Scalpel to sever the muscles.	Kitchen knife (65%) Shard (45%)
Step 6: Saw to cut through the limb.	Hatchet (35%) Butcher's Knife (25%) Arm blade (75%)
Step 7: Use the cyborg limb on the limb you want to augment.

Ghetto Surgery

It is possible to perform surgery with improvised items, but the chance to complete each step will greatly decrease.

If you can't find an operating table, have no fear, you can fix someone up anywhere! Any table or bed will do, and even the floor if you have no other choice. It will reduce the chance of successfully completing a step, however.

Appendectomy

Step 1: Place the patient onto any table.

Step 1.5: Knock the patient out for anesthetic. (Optional)

Step 2: Place a bedsheet over the patient's groin.

Step 3: Aim for the patient's groin, and cut the skin with a kitchen knife (65%) / shard (45%).

Step 4: Use a wirecutters (60%) / cable coil (15%) to clamp any bleeders.

Step 5: Use a screwdriver (45%) / wirecutters (35%) to open the incision.

Step 6: Use a kitchen knife (65%) / shard (45%) to sever the appendix.

Step 7: Use your BARE HANDS to pull out the appendix.

Step 7.5: Dispose of the newly extracted appendix / eat the appendix / force feed it to the patient. (Optional)

Step 8: Cauterize the wound with the welding tool (70%) / lighter (45%) / match (20%).

Step 9: Wake up your patient and congratulate them on overcoming appendicitis!

Xenomorph Removal

Step 1: Place the patient onto any table.

Step 1.5: Knock the patient out for anesthetic. (Optional)

Step 2: Place a bedsheet over the patient's chest.

Step 3: Use a kitchen knife (65%) / shard (45%) to cut through the chest.

Step 4: Use a screwdriver (45%) / wirecutters (35%) to retract the skin.

Step 5: Use a hatchet (35%) / butcher's cleaver (25%) / changeling's arm blade (75%) to cut through the chest.

Step 6: Use a spade (65%) / minihoe (50%) / crowbar (35%) to pull out the larva.

Step 7: Close the wound with welding tool (70%) / lighter (45%) / match (20%).

Step 8: Congratulations! Your patient lives!

Lipoplasty

Step 1: Place the patient onto any table.

Step 1.5: Knock the patient out for anesthetic. (Optional)

Step 2: Place a bedsheet over the patient's chest.

Step 3: Use a kitchen knife (65%) / shard (45%) to cut through the chest.

Step 4: Clamp bleeders with the wirecutters (60%) / cable coil (15%).

Step 5: Slice up the fat with the hatchet (35%) / butcher's cleaver (25%).

Step 6: Remove the fat with the screwdriver (45%) / wirecutters (35%)

Step 7: Close the wound with welding tool (70%) / lighter (45%) / match (20%).

Step 8: Feed the patient his own fat as a lesson in vicious circles. (Optional)

Plastic Surgery

Step 1: Place the patient onto any table.

Step 1.5: Knock the patient out for anesthetic. (Optional)

Step 2: Place a bedsheet over the patient's head to prepare for plastic surgery.

Step 3: Use a kitchen knife (65%) / shard (45%) to make an incision in the head.

Step 4: Use a screwdriver (45%) / wirecutters (35%) to retract the skin around the incision.

Step 5: Use a kitchen knife (50%) / wirecutters (35%) to alter the patient's appearance.

Step 6: Use a welding tool (70%) / lighter (45%) / match (20%) to mend the incision you made.

Step 7: Send that stranger to the HoP to finish his induction to the witness relocation program.

Gender Reassignment

Step 1: Place the ~~victim~~ patient onto any table.

Step 1.5: Knock the patient out for anesthetic. (Optional)

Step 2: Place a bedsheet over the patient's groin.

Step 3: Use a kitchen knife (65%) / shard (45%) to cut through the groin.

Step 4: Clamp bleeders with the wirecutters (60%) / cable coil (15%).

Step 5: Use the hatchet (oh my God) (50%) / wirecutters (35%) to carefully reshape the patient's... body.

Step 6: Close the wound with welding tool (70%) / lighter (45%) / match (20%).

Step 7: Perform plastic surgery to acquire a new gender appropriate name (Optional)

Cavity Implant

Step 1: Place the patient onto any table.

Step 1.5: Knock the patient out for anesthetic. (Optional)

Step 2: Place a bedsheet over the patient's chest.

Step 3: Use a kitchen knife (65%) / shard (45%) to cut through the chest.

Step 4: Clamp bleeders with the wirecutters (60%) / cable coil (15%).

Step 5: Use a screwdriver (45%) / wirecutters (35%) to pull back the skin.

Step 6: Use a kitchen knife (65%) / shard (45%) to cut through to a cavity.

Step 7: Carefully place an item in the cavity / Use your hands to check for items in the cavity.

Step 8: Close the wound with welding tool (70%) / lighter (45%) / match (20%).