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Because getting it just requires a dedicated surgery center and some patience. Marketing for surgery diseases will boost customers of that type. Other than that, have enough doctors and nurses ready to cycle so they can work until they get too tired and another one will step in.
I got the Psychiatry V and Research V in Milton (the college one with the huge space and no trained medical staff).
check it out:
http://astats.astats.nl/astats/Steam_Achievement_Info.php?AchievementID=5&AppID=535930&SteamID64=76561197996212701#tabs-2