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The bleeding is way too strong...
EDit: OK, I managed to do it after all. Moved very quickly in brain surgery and got it.
Do NOT turn off the lazer. If you do, it seems to register as a tool and blocks achievement.
Its quite possible to do if you're extra careful, or swing it real fast. I went the careful way, trying not to hit any tissue. As long as it hits only bones, no bleeding will start.
If it's still happening, can you let Matt the friendly QA tester know on surgeonfeedback@bossastudios.com
He reacts better to emails that contain pictures of otters. Just sayin'.
Sadly, I have 100% of achievements (took some effort) so I can't say why frikkin lazers achievement didn't register the first, second or third time. It did last time I tried it, though (didn't turn off the lazer, didn't pick anything up other than braaaaiinzz, cut it with lazer as well).
I tried doing mission 2 with lazer but my patient simply dies in very short time, I can't "burn" with laser only specific spots and use harmless light on others (by pressing a button with my finger maybe?) so trying to operate kidneys with lazer results in almost immediate death. The only way faster than that would be to drill the brain...
While the A&E update was installing, I did the surgery and had no damage done with the laser. Now, I may as well be cracking his skull open with the hammer. It's faster, and the damage difference is negligible. I wonder if this is intentional, or if it's a bug.
Right now its a very good tool which is very tricky, during brain surgery it may hit the brain since bone pieces seem to jump off their places when damaged, causing immediate harm (and a flood of bleeding, which is the main problem). Its usable, if you're VERY careful, but operation may take 20 minutes. I find it far easier to make a powerful swing with a hammer, it typically removes the entire skull with minimal damage.
I don't have DLC, so I can't test it myself, sadly.