Surgery

Surgery	Requirements	Steps	Notes
Open Incision	None	1. Cut with a scalpel (Scalpel) → 2. Retract the skin (Retractor)	Required first step for most surgeries
Close Incision (Arms/Legs/Feet/Hands)	None	1. Close bones (Retractor) → 2. Seal bones (Bone Gel) → 3. Close panel → 4. Close incision (Cautery)
Close Incision (Head)	None	1. Close bones (Retractor) → 2. Seal skull (Bone Gel) → 3. Close incision (Cautery)
Close Incision (Torso)	None	1. Close bones (Retractor) → 2. Seal ribcage (Bone Gel) → 3. Close incision (Cautery)
Open Ribcage	Open Incision	1. Saw through bones (Bone Saw) → 2. Prise the bones open (Retractor)	Torso only
Stop Constant Blood Output	Open Incision	1. Clamp the bleeders (Hemostat, repeatable) → 2. Stitch up destroyed tissues (Stitches)	Only available when bleeding present
Fix Dismemberment Leftovers	Open Incision	1. Remove the dead skin (Scalpel) → 2. Clear up bone leftovers (Bone Saw) → 3. Stitch up dismemberment wound (Stitches)	Only available when dismemberment trauma present and not bleeding

Surgery	Requirements	Steps	Notes
Tend Bruise Wounds	None	1. Make a careful incision (Scalpel) → 2. Repair damaged tissue (Hemostat, repeatable) → 3. Seal the wound (Cautery)	Heals 5 blunt/slash/piercing per repeat
Tend Burn Wounds	None	1. Make a careful incision (Scalpel) → 2. Repair burnt tissue (Hemostat, repeatable) → 3. Seal the wound (Cautery)	Heals 5 heat/cold/shock/caustic per repeat
Mend Bones	Open Incision	1. Saw through bones (Bone Saw) → 2. Clamp internal bleeders (Hemostat) → 3. Mend bones (Bone Gel, repeatable)	Only available when bone damage trauma present. Heals 17 bone damage per repeat
Heal Organs	Open Incision	1. Clamp internal bleeders (Hemostat) → 2. Heal organs (Hemostat, repeatable)	Only available when organ damage trauma present. Heals 17 organ damage per repeat

Surgery	Requirements	Steps	Notes
Amputate	Open Incision	1. Saw through bones (Bone Saw) → 2. Clamp internal bleeders (Hemostat) → 3. Amputate part (Bone Saw)	Cannot be performed on torso
Attach Head	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires head to be missing
Attach Left Arm	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires left arm to be missing
Attach Right Arm	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires right arm to be missing
Attach Left Hand	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires left arm present, left hand missing
Attach Right Hand	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires right arm present, right hand missing
Attach Left Leg	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires left leg to be missing
Attach Right Leg	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires right leg to be missing
Attach Left Foot	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires left leg present, left foot missing
Attach Right Foot	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires right leg present, right foot missing
Attach Tail	Open Incision (on Torso)	1. Insert part (Hands) → 2. Seal wounds (Cautery)	Requires tail to be missing

Surgery	Requirements	Steps	Notes
Cavity Implant	Open Ribcage	1. Insert item into cavity (Hands) → 2. Remove item from cavity (Hands)	Torso only
Remove Organ	Open Incision	1. Remove organ (Tweezers)
Add Organ	Open Incision	1. Add organ (Hands)
Carve out cavity	Open Incision	1. Carve out a cavity (Scalpel)

Surgery	Requirements	Steps	Notes
Lobotomize	Open Incision	1. Lobotomize patient (Drill) → 2. Close incision (Cautery)	Head only. Adds Ohio Accent, Ratvarian Language and Clumsy. Deals 10 piercing damage. Hidden from spawn menu
Mend Brain Tissue	Open Incision	1. Mend brain tissue (Hemostat) → 2. Close incision (Cautery)	Head only. Reverses lobotomy. Hidden from spawn menu