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Obviously surgeon is surgeon skill + probably stamnia or motivation. Each surgery is very funny but VERY long. (10 days in game)
I've now unlocked everything in those star letters as it's just blank now.
Plus, then theres no reason to go back. It's in the past. Move on to bigger better things! (as TH used to say)
Its unlocked after completing the 6th hospital.
You can then choose between the surgery hospital or the genetics hospital.
I actually wonder if the nurse doesn't need any training at all. I mean technically speaking she just assists the surgeon she's not doing the procedure.
I would love to know what has an impact about the nurse at all. Because I'm trying to give my surgery nurses treatment but I have a feeling nothing has an impact. For instance does bedside has an impact or not, motivation and so on. It's the only case I have seen so far where the game clearly doesn't say anything about an employee while the surgeon clearly states improving its tratement and surgery skills help.