Guide to Surgery

All surgery requires a set of medical tools, typically found in the Operating Theatre, along with an operating table.

# 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.

# Beginning of any Operation

Step 1: Operating Table Place the patient onto the **operating 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: **any table** (-20%), **any bed** (-30%), ask them to lie **on the floor** (-50%). Chances of successfully completing every step will be reduced.

Step 1.1 Ethanol (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.

* 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%.

Step 1.2: Sleeping Agent (Optional) Use a **tank of anesthetic** and a **breath mask** to make your patient sleep.

Step 2: Drapes Bedsheet Place **drapes** or **bedsheet** over the part of body you are operating.

Step 3:  Switch to **help intent**. Pro tip: Disarm intent will fail every surgery step.

Step 4:  **Aim** at the appropriate body part (important!).

Step 5: Scalpel **Do the surgery** (see the steps below!). Afterwards congratulate the patient and kick them out.

**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.

 Step 7: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

### 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 BrainAlien 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.

File:Hud target head.gif **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: Operating Table Place the patient onto the operating table.

Step 2: Brain Cram their brain back into their skull.

Step 3: Cloning Pod Usually, you take the body to be cloned.

#### Heart File:Heart.png

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.

File:Hud target chest.gif **Target: Chest**

#### Eyes File:Eyes.png

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

File:Hud target eyes.gif **Target: Eyes**

#### Liver File:Brokenbottle.png

Required for processing reagents. Removing the liver will cause the patient to take heavy toxin damage.

File:Hud target chest.gif **Target: Chest**

#### Lungs File:Lungs.png

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.

File:Hud target chest.gif **Target: Chest**

#### Tongue File:Tongue.png File:Ltongue.png

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.

File:Hud target mouth.gif **Target: Mouth**

#### Appendix AppendixInflamed appendix

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

File:Hud target crotch.gif **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 File:Chest implant.pngFile:Brain implant.pngFile:Eye implant.pngFile:Toolset arm implant.png

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.

File:Hud target chest.gifFile:Hud target head.gifFile:Hud target eyes.gif **Target: Chest/Head/Eyes/Arms**

#### Cybernetic Organs File:Cybernetic heart.gif File:Cybernetic liver.png File:Cybernetic lungs.png File:Robotic eyes.png

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.

File:Hud target chest.gifFile:Hud target eyes.gif **Target: Chest/Eyes**

#### Xenomorph Embryo FacehuggerLarva

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.

File:Hud target chest.gif **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 infective, and anyone hit by a zombie while unprotected will also acquire a Romerol Tumor.

File:Hud target head.gif **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**

 Step 7: Screwdriver **Screwdriver**: screw the shell. | Scalpel (75%) Kitchen Knife (50%) Any other sharp item (30%)

## Alien Organ Manipulation

Used to remove or add organs from Xenos.

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Amputation

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

 **Target: Head, legs, or arms**

 Step 6: Scalpel **Scalpel** or Circular Saw **Circular Saw**: sever the limb. | Chainsaw (80%) Fire Axe (50%) Hatchet (40%) Butcher's Knife (25%) Changeling's Arm Blade (80%)

## Prosthetic Replacement

Replace a severed limb with either a normal or a robotic limb.

 **Target: Head, legs or arms**

 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.

 File:Cyborg head.png   File:Cyborg torso.png   File:Cyborg left arm.png
*We can rebuild him. We have the technology.*

 **Target: Head, chest, legs or arms**

 Step 7: **Cyborg limb**: augment the limb.

## Cavity Implant

Implant/Remove an object in the chest. Tiny and small items can be implanted. Implanting a flashlight allows the patient to toggle it on or off. Implanting grenades is also often done. You can only have one cavity implant at a time.

 File:Flashlight.png
File:Hud target torso.gif **Target: Chest**

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Implant Removal

Extracts mindshield, tracking, chemical, traitor, explosive implants and such. If you don't have an empty implant case in your other hand, the implant will be ruined on extraction!

 File:Implant Case.png
File:Hud target torso.gif **Target: Chest**

 Step 5: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Dental Implant

This allows you to insert pills/patches into a tooth cavity, allowing you to pop it any time to ingest it. This works for both stimulants and suicide pills.

File:Hud target mouth.gif **Target: Mouth**

 Step 2: Pill **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.

File:Hud target head.gif **Target: Head**

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Eye Surgery

This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.

File:Hud target eyes.gif **Target: Eyes**

 Step 5: Cautery **Cautery**: mend the incision. | Laser (90%)Welder (70%) Lighter (45%) Match (20%)

## Removal of Embedded Objects

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

 **Target: Head, chest, legs, or arms**

 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.

File:Hud target head.gif **Target: Head**

 Step 4: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Lipoplasty

Removes excess fat from the patient. Can only be selected if the patient is fat.

     File:Meat.png
File:Hud target chest.gif **Target: Chest**

 Step 5: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Slime Core Removal

Remove core from slime. Step 2 must be repeated for every core if slime has several.
Mostly obsolete with existence of slime grinder, but still possible.

 File:Slimegrey.png

 Step 2: Hemostat **Hemostat**: extract core. | Wirecutters (60%) Package Wrap (35%) Cable (15%)

# Tend Wounds

These surgeries all share the same steps. They require a surgery table with an adjacent operating computer. They can be upgraded by researching certain nodes, and then synching the operating computer with research database. There are "bruises", "burn" and "Mixture" versions. By default only "bruises" and "burn" are available.

The target is healed by this surgery, without any chemicals being involved. Useful for healing dead bodies for revival.

File:Hud target chest.gif **Target: Chest**

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

* Without any research, step 5 will heal 5 damage each time it's repeated ("bruises" and "burn" versions only).
* With **Improved Wound-Tending Surgery** researched and synched, step 5 will heal 10 damage ("bruises" and "burn" versions only).
* With **Advanced Surgery** researched and synched, step 5 will heal 15 damage ("bruises" and "burn" versions only).
* With **Advanced Surgery** researched and synched, you'll be able to do the "mixture" version, which heals 2 brute and burn each time step 5 is repeated, but the step takes much shorter time than the other two versions.
* With **Experimental Surgery** researched and synched, the "mixture" version's step 5 will heal 5 brute and burn.
* With **Alien Surgery** researched and synched, the "mixture" version's step 5 will heal 8 brute and burn.

If research was completed in the middle of surgery, you must restart the surgery to get the upgraded version.

# Advanced Surgery

These surgeries require the **Advanced Surgery** research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Advanced surgeries can only be performed on an operating table with a connected operating computer.

## Lobotomy

Used to cure **deep-rooted** brain traumas. This can cause a random, **permanent** trauma, or if lucky, a random **special** trauma which gives you rare powers. Requires the "Advanced Surgery" technology.

File:Hud target head.gif **Target: Head**

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## 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.

File:Hud target chest.gif **Target: Chest**

 Step 5: Scalpel (60%)**Scalpel**: perform dissection. | Kitchen Knife (30%) Shard (15%)

# Experimental Surgery

These surgeries require the **Experimental Surgery** research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Experimental surgeries can only be performed on an operating table with a connected operating computer.

## 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 Tend Wounds beforehand. Requires the "Experimental Surgery" technology.

File:Hud target head.gif **Target: Head**

 Step 7: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Pacification

The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.
 Requires the "Experimental Surgery" technology.

File:Hud target head.gif **Target: Head**

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Vein Threading

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

File:Hud target chest.gif **Target: Chest**

 Step 7: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Muscled Veins

Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology.

File:Hud target chest.gif **Target: Chest**

 Step 7: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Nerve Splicing

Nerves are connected to each other multiple times, greatly reducing stun times. This caps stun times to 4 seconds. Requires the "Experimental Surgery" technology.

File:Hud target chest.gif **Target: Chest**

 Step 7: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Nerve Grounding

Nerves form a safe path for electricity to traverse, making the user nigh immune to all electric shocks. Requires the "Experimental Surgery" technology.

File:Hud target chest.gif **Target: Chest**

 Step 7: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## 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.

File:Hud target chest.gif **Target: Chest**

 Step 7: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Ligament Reinforcement

Adds a protective tissue and bone cage around the connections between the torso and limbs, preventing dismemberment. However, the nerve connections as a result are more easily interrupted, making it easier to disable limbs with damage. Requires the "Experimental Surgery" technology.

File:Hud target chest.gif **Target: Chest**

 Step 7: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Viral Bonding

The target is forced into a symbiotic relationship with a virus. It makes the virus stay at stage 1 where it's usually harmless, but still infective to others .
 Note: The target must already be infected before you can initiate this surgery with the drapes. The target must be dosed with at least 5 units of Virus Food, Formaldehyde, and Spaceacillin for the "Viral Bond" step to work. This surgery will not hide the virus icon from medical huds.

Requires the "Experimental Surgery" technology.

File:Hud target chest.gif **Target: Chest**

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

# Alien Surgery

These surgeries require the **Alien Surgery** research node, which requires the **Alien Technology** node, which can only be revealed from deconstructing certain abductor items. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Alien surgeries can only be performed on an operating table with a connected operating computer.

## 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.

File:Hud target head.gif **Target: Head**

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)

## Necrotic Revival

Revives a corpse into an infectious zombie which will probably munch your face off. Useful for forcing a shuttle call. Note: The target must be dosed with at least 5 units of Zombie Powder or Rezadone for the "Bionecrosize" step to work. Requires the "Alien Surgery" technology.

File:Hud target head.gif **Target: Head**

 Step 6: Cautery **Cautery**: seal the wound. | Laser (90%) Welder (70%) Lighter (45%) Match (20%)