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Game shows 0 required because it isn't mandatory to run your operating theatre at night, but you absolutely can if you like.
No operation requires an ICU visit - that is a separate process to stabilise collapsed patients. There is no interdependency between ICU and operating theatres.
I had a case of laparoscopy where the info said i had to commit to icu first. It says needed op-room + icu station. 1st time ever i saw that. After patient got transfered to icu the laparoscopy icon was not greyed out anymore.
Also i figured about the 0 and only mandatory. Let me try again...
I've not seen that laparoscopy requirement - I've certainly done laparoscopies without ICU. Was it a post-surgical requirement?
Im still trying to add enough staff and make them only work as surgeon, etc...
Edit:
Alright..thanks for the help. Its working now if i dont let them diagnose patients,too when they should operate. I thought its more like they do whats more urgent first but i see now that the roles you can assign them too are also very important so like you said they are not busy with anything else. But a surgeon should also diagnose things, maybe they should add a feature with a queue system for staff what they prioritize i think that would make things a lot easier.