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I also am unable to instal a painkiller rib.
You'll probably need to post a full list of your mods for someone to help you. Some things may be easy to pick out of a list as a problem, some conflicts may be unknown, there are so many possibilities.
It is strange, though. I have found one colonist who will perform the surgery but he is a senile old man with a bad back. None of my usual medical experts will touch touch it. It was never like this before and I have carried out dozens of operations.