Surgeon Simulator 2013 (Coming Eventually - Anniversary)

This guide will explain how to beat the game and tell you some of its secrets. I have 100% of non-anniversary achievements. I'll get the rest eventually!!!

Basics

Controls:
A,W,E,R, Space = Fingers
Move Mouse = move hand
Mouse Click 1 = move hand down toward the floor
Mouse Click 2 + Move Mouse = rotate hand left or right

You can move the hand or turn the hand. You can't do both! This may be a pain in the butt when you need to remove that left (from your view point) kidney! Whenever I say left or right, it is from your view point.

The default position for your hand should be: hand is parallel to the floor, no fingers are curled, and hand is high in the air.

Picking up an object: To pick up something as large or larger than your hand, make sure the object is below the center of your hand, hold down mouse 1 until you are touching the object, and then press and hold AWERSpace.

Picking up a Knife: To pick up a knife, make sure the object is between the fore finger and the thumb, hold down mouse 1 until you are touching the object, and then press and hold AWERSpace.

Manipulating objects easier: It may help to pick up objects when your hand is slightly rotated to the left from the default position. For example, the hand circular saw may be easier to use when it is at an angle. Same thing goes for the laser.

Stabilizing blood loss: If your patient is bleeding a lot, pick up the green needle and stab him with it. If you pick up the green needle with your hand directly above the needle, you will inject yourself and start to hallucinate. To stop the hallucinations, you must inject yourself with the blue needle. The blue needle is poisonous to the patient..

Preparing for an easier time: The patient doesn't start bleeding until you start hacking away at him. Before you begin, you can clean up your table a little by throwing unnecessary tools on the floor, if you want.

A++: It's all about speed, accuracy of cutting (to prevent unnecessary blood loss), and blood remaining. I don't recommend you try going for these until you've beaten the game.

Heart Surgery

World Record 14 Seconds A++ by Kloogerwannabe

1. Detach the ribcage by using the hand circular saw. Pick up the hand circular saw and touch the outer portion of the ribcage with your tool. You just need to tap it briefly and continuously at the points.


2. Pick up and remove the ribcage with your hand

3. Pick up and remove the left lung. Grab it and violently move your hand left and right to help you remove it.

4. Pick up and remove the right lung. Grab it and violently move your hand left and right to help you remove it.


5. Pick up a knife and cut the upper portion of the pink organ and the bottom portion of the pink tubular organ. Remove it.


6. Cut the hell out of the upper heart valves until it stops beating. One of the floppy disks has an exact picture of where to cut. There are four values and if you look closely, you can see the creases where you have to cut.


7. Remove old heart.

8. Open the heart container on the right side of the table.

9. Throw the new heart into the area where the old heart was.


A++ Method: Do everything listed above but more accurately and more quickly. Try not to hit anything you don't need to hit. With the saw, you want to just touch a little of bit of everything on one rib. Try to cut only what you need to cut. Before you place the new heart, stabilize the patient.

Alternate Method from Kevin G.: Hey, just a tip for speed runs on heart transplants. If you aren't too worried about blood, you can manage a heart transplant without bothering with the left side of the open cavity. Just cut half the ribs open (sternum for the middle cut) with the circular saw, grab one lung, cut away the arteries, and you should be good. If you're good at this (for example, pulling off the sheet while holding the circular saw), you can get the lung out in 50 seconds and have the heart out in 90 seconds. At least, those are my personal bests (although with those, I lost a bit more blood -- I did manage a 1:50 run with 5180 ml of blood left). Nevertheless, unless you absolutely cut him up while getting rid of the ribs or arteries, you'll probably end up with an A++ anyways. Hope that helps!

Kidney Surgery

World Record 49 seconds A++ by Kloogerwannabe

1. Cut the dark, large intestine on the lower right side and then the less obvious left-middle side. Remove.


2. Cut the stomach from the top tube and the bottom tube.

3. Cut the light, pink intestine on the bottom left crimp. Remove the stomach and the intestine.


4. Remove all the organs (possibly by grabbing and violently moving your hand left and right) blocking the kidneys with your hands.

5. Cut the tubes connecting both kidneys. Remove kidneys.


6. Open the new kidney box and place the new kidneys in the old kidney's spots.


Note: The left kidney is a pain in the butt to get out just by grabbing it. It is possible. You just need to have your hand rotated and in the correct area.

Suggestion by Grent. "Pencils don't cause blood loss; you can use one to move the kidney around until you can pick it up. That's how I managed it."

A++ Method: Do everything above but accurately and quickly. When the cutting points are cut accurately, you should suffer zero to little blood loss. Stabilize the patient with the green needle if their rate of blood loss is 5ml/second and before you place the new kidneys.

Brain Surgery

World Record 9 seconds by Kloogerwannabe

1. Use the hand circular saw to cut around the skull to break it up. The cap should fall off and the patient's head should now be limp. You can use the black, hand laser (all the way to the right) to break up the skull with no bleeding (that is if you can avoid hitting the brain or face). If you want to easily cut the other half, you can rotate your hand so that the palm is facing the sky and the saw is pointed to the left.


2. Remove the skull cap with your hands.

3. Pull out the brain with your hands and expose the one big nerve.

4. Stab the crap out of the nerve with a knife until the brain becomes detached.


5. Remove brain. Grab it and violently move your hand left and right.


6. Open the brain jar, pick up new brain, and place it in the hole. You do not need to let go.


A++ Method: You need to use the laser. Grab the laser with your hand slightly rotated from the default position. While the laser is warming up, knock open the brain jar's lid. The laser, if used accurately, will allow the patient to suffer zero (or close to none) blood loss from the skull cap removal. You need to laser half of the cap off with one angle and then flip your hand around and do the other side of the skull. If you need to flip your hand, do so behind the patient's skull to prevent any misfiring. The laser box has a big, red emergency shut off button, which you can hit as you go grab the green needle.

At most, you should suffer a blood rate loss of 9ml per second. After you are done removing the skull cap, use the green needle to stop blood loss. Stab the patient in the face with it. Pull out the brain and give a few quick jabs with the kidney knife (the big saw-shaped knife thing in the center table). Quickly install the new brain.

Ambulance Missions

It's the same exact missions as before except everything is flying around.

Sometimes, victory is sometimes purely luck based. The ambulance bumps can help you out in some cases, like getting out the stupid left kidney. In other cases, your new organs can fly out of the ambulance.

A++ Tip: Whenever the ambulance is swaying left and right, stop moving for a moment. If you stab a patient, you may have increased blood loss. When you're done using a tool, and you don't need it anymore, throw it out the ambulance. This is to minimize the amount of tools that can hit your patient. You should suffer minimum blood loss to the point where you may not need the green needle.

Heart A++: Do everything as you would on a normal surgery but do it carefully. Use the hacksaw carefully. Take out the organs. Cut out the stomach carefully. Cut out the heart carefully. Take out the heart and replace it.

Kidney A++: Everything must be accurate and quick. Cut out the large intestine. First the right side, since it's more visible, and then the left side. Remove it quickly. Cut all three points to get the stomach and small intestine out. Remove them quickly. Remove the Brown Organ quickly. Your hand must approach it at a slight angle downward from the default position. Stabilize if you're able to. Cut out the kidneys. Stabilize the patient since these next few steps are going to take a while. Remove the right kidney. Removing the left kidney is a pain in the butt and requires a lot of patience. At this point, your new kidneys may or may not have flown out. It's not worth the time to try to keep them in the ambulance.

Blood level at this point

Brain A++: Crack open the patient's skull with the bottom of the fire extinguisher. ♥♥♥♥ your arm to the left and then swing it hard over the patient's skull. 1-2 swipes is needed. Pull out the brain and expose the nerve. Cut it, remove the old brain, and put in the new brain. There is no need to let go of the new brain when you're installing it.

Ambulance Brain Surgery A++ 10.528 Seconds by The Last Tofus

Blood level at this point

Space Missions

This is at times, a lot easier than the random craziness of the ambulance mission. Watch out for the floating needles. The zero gravity environment aids in pulling out the old organs. Unfortunately, your tools fly everywhere as well.

Heart - Firstly, close the heart box before the new heart flies out. Grab the saw with the blade touching your forearm or close to your knuckles. Continue as normal.

Time hint: Go ape with the hammer on the rib cage.

Kidney - Same as the hospital operation but easier. Pick up your knife and start cutting away. You do not need to let go of your knife until you do not need it anymore. The zero-gravity environment takes all the loose organs away. Because of the environment, this mission is surprisingly easy.

Brain - Pick up the saw, break half of the skull, flip your hand 180 degrees and break the other half of the skull. You should have 5,100ml+ left over. If not, then you are touching the brain too much or the skull cap too much. You can minimize your touching of the skull by quickly "tapping" the skull with the saw. Touch brain to loosen it. Poke nerve with sharp object. Slam dunk the new brain in. Be sure you don't wack away the floating kidney knife at the start.

TF2 Mission

Since it doesn't matter if you get A++ or not for the achievements, it makes life a lot easier. Just go for the speed run on one run and the blood run on another run.

For Let's Go Practice Medicine, That's How I Lost My Medical License, and Should I Be Awake For This?, watch this video below.

Incredible Speedrun in 44 seconds (by kloogerwannabe)

Incredible A++ Run with minimal bloodloss by kloogerwannabe

Check out the rest of his INSANE Surgeon Simulator 2013 Speedruns
http://www.youtube.com/user/kloogerwannabe?feature=watch

In case, you cannot see the video or if the video is removed, here's the written version.

1. Pick up the bomb (bottom left corner) with an overhand. Orientate the bomb so that the butt end is facing the floor. Swing the bomb from left to right toward the rib cage. The bomb should remove 90-99% of the rib cage in one piece. This is not as easy as it sounds. Remove the rib cage.

2. Grab one lung, violently remove by jerking your mouse everywhere, and throw the lung away. Repeat with the other lung.

3. Grab the broken bottle (bottom-right corner) with an overhand. Orientate it so that the broken end is facing the ground. Jab it all over the heart until the heart comes loose. Leave the heart there.

4. Open the refrigerator by using your hand (Pre-patch) applying right-ward pressure with your wrist and swinging the door open with your wrist. Grab the big heart and be careful not to push it to the back of the refrigerator. With the big heart still in your hand, jab the big heart at the metallic 3 pronged object (bottom right corner) until they connect. With the heart and metal object in hand, bring your hand next to the ubercharge output, until the heart is fully grown.

Come on...

5. Drop the heart/object into the chest cavity.


6. Grab the joystick (left side) and move it so that it is pointing toward the center of heavy's body. You may have to move the saw out of the way.


Joystick down = Ubercharge toward ceiling
Joystick up = Ubercharge toward floor
Joystick right = Move Counter-clockwise
Joystick left = Move clockwise.

This is the hardest part mainly because the joystick has a tendency to move back toward the neutral position. Moving the ubercharge left and right is the easiest part. But to move the ubercharge toward the ceiling with ease, just let go of the joystick, bend your hand downward at the wrist and gently move the joystick with your loose fingers.

Alien Mission

Complete all the normal surgeries and press the secret code in the space brain mission. The code is 296145.

In the reception area, put in the alien tape into the VHS player. There are 6 surgeries to complete for the "Best Surgeon In The Universe."

Type in 4948 to open the alien stasis pod.

If you want a new mission, restart the level, and type in the 4948 code again.

There are a few new tools, which are the hammer pounding thingy and the sharp ninja star thingy.

Total makeover procedure
1. Remove the rib cage with a hammer.
2. Remove the lower rib cage with a hammer


3. Cut out the blue tubes attached to the blue carrot. If you need to replace that particular organ, only cut out the red. DO NOT CUT THE PURPLE IN THIS CASE.
4. Remove blue carrot.


5. Cut out intestines at two points.
6. Remove intestine.


7. Cut out orange ball at two points.
8. Remove ball cage with circular saw.
9. Remove orange ball.


10. Cut out stomach, remove stomach.


11. Cut out glowing orange organ, remove glowing orange organ


12. Pull out cube. Cut cube wire. Remove Cube.


13. Done.


Here's the organ map.

Pewdsball - Orange
Birgirspallex - Purple
Gobbleshaft - Light Blue
Cubed Trangrifier - Gray
Gavichal - Red
Robbaloraz - Dark Blue


For the Birgirspallex (Purple Intestine), remove the old intestine and the old purple stomach. You have to touch one end of the new intestine with one of the body intestine openings.

World Record Birgirspallex 47.4 seconds

For the gobbleshaft (blue carrot in the middle) - you can only cut the 6 blue tubes at the points that are touching the old gobbleshaft. Do not cut the points that are touching the body. Then you just drop the new organ in.

World Record Gobbleshaft 36.344 seconds.

For the Gavichal (glowing orange thing), just take it out and put the new one in. I think poking this with the knife will get you ALIEN-HIGH.

For the pewdsball, break open the pewdsball cage completely with a blunt object, remove the old ball, and put the new ball in.

For the Robbaloraz, cut out the old one, put in the new one.

For the cubed Trangrifier, get the new cube ready before you stab the old cube's wire. Cutting the cube wire will give you a shock thus reversing your controls. When you break the glass, the cube has a tendency to fly to the right corner and get lost. Getting the new cube is the hardest part.

Anniversary - Eye Surgery

1. Grab the bottle with the eyeballs and drop them in any tray that you can easily reach.

2. Remove the goggles. You can do this by using the hammer and ramming it into the goggles. Or you can use the scissors to cut off the goggles straps, which is what I recommend. You "cut" the straps off by ramming the tip of your scissors on the straps.

3. Pick up the pencil and ram the pointy end into the eyeball until it gets stuck there. When it is stuck there, you will automatically "let go" of the pencil. Now, regrab the pencil and pull. The patient will look like it has a crazy eye which is sort of sticking out. Repeat with the other eye. Using a pencil will minimize blood loss. Using a scalpel instead of the pencil is the dumb way, since it will almost guarantee blood loss.

4. ♥♥♥♥ your hand back and slap the patient from the left and from the right side of his head until both eyes pop out.

5. Use a knife and cut the eyeball out. Aim for the eyeball cord halfway. You will lose a lot of blood.

6. You should be losing blood at a steady rate. Grab an eyeball and pick it up with your thumb and forefinger. Put it in front of an eye socket and gently nudge the eyeball in there. Your hand should get "stuck" inside the socket. Let go. Grab another eyeball, jam it into the socket. You do not need to let go, the game will automatically go into victory mode.

PICTURES COMING SOON

Anniversary - Teeth Transplant

1. Open up one of the blue tooth boxes for future access. Optional: Clear all junk off.

1. Pick up the scissors and cut the straps off of the mask. You can flip your hand over to "flip the scissors" over to cut the opposite strap. Zero blood loss at this point.

2. Remove the mask with your hands.

3. Pick up the hammer. Put the hammer head in the patient's mouth and just slowly grind it back and forth to get rid of the rotten teeth. You only have to get rid of the visibly rotten teeth. Use the green needle to stop blood loss. Using any drill is a bad idea and works like garbage and makes the patient bleed a lot. At this point, you should have well above 5,000 ml of blood.

4. Pick up the tweezers (it'll be easier if the the tweezer tips are pointing right) and touch any tooth with the tip of your tweezers. Like a magnet, the tooth will automatically be attached to your tweezers. Put the tweezers with the tooth in the patient's mouth where the rotten teeth were. Automatically the tooth will be placed in place. Repeat until all rotten teeth have been replaced with good teeth. If the tooth box closes on you, you can open it again without letting go of your tweezers. Use an upward rub with your hand or tweezers on the box lid.

PICTURES COMING SOON

HINT from KING ATLAS:
Hey, humanvegetable! I managed to get "You can't handle the tooth!" by using one of the small picks to tap out the rotten teeth individually. You can position the pick above the rotten tooth and use right click to slowly pivot on and off of the tooth with precision and eventually remove it. You'll know you hit it when a white toothy chunk flies out. It takes a long time, but it's real easy!
(These screenshots are from two different attempts)
http://cloud-4.steampowered.com/ugc/547507309268095940/0E388DAB5C15855C282317A88D7DA46A03FE82FA/

Anniversary - Corridor Surgeries

These surgeries are just like the normal surgeries except you may slam into the door and if you lose an organ or an important tool, you'll be okay! Another organ/tool will be in a future cart!

You can place any useful tools on the "patient cart." Be advised, this may not be the best thing to do, but it is an option.

When the door slams, it'll get annoying. If you see it, brace for it by not moving for a second.
I have to complete these with A++ so... bear with me. It's really, really difficult :-(

Floppy Disks

Check the other steam guides.

Achievements (Part 1 and 2)

Doctor Doctor, Give me the News - You literally pick up the phone at the main menu.

Flipping the Bird - Give your patient the middle finger.

Surgery Horns - Give your patient the "W,E,Space."

It's Life Jim, But Not As We Know It - Beat the heart transplant mission.

Pinky Spear - Stick your pinky out and touch the patient's ribcage during the heart mission.

Shh I Doctor Now - Stick only your forefinger out and touch the patient's face during the heart mission. (A Robbaz, a famous and amazing youtuber, reference) You may have to continually touch the patient's face.

Vworrp Vworrp - (Thanks to Remy. Doctor Who reference) Place the new heart in the chest cavity while the old heart is still there. A timelord has two hearts.

I Think I've Got this - Beat the brain mission.

You've Got To Be Kid'n'ey! - Beat the kidney mission.

Nigel The Secretary - Answer the phone, and pick up the pen and write on the stationary.

Nine Nine Nine! - Perform a heart transplant in an ambulance

When You Have No Choice But To Operate - Perform a double kidney transplant in an ambulance.

What Could Possibly Go Wrong? - Perform a brain transplant in an ambulance.

10 Megabytes Of Raw Data - Collect all floppy disks by completing all missions.

Spaaaaaace - Go where no surgeon has gone before. Insert the last floppy disk received. You get the last floppy disk by completing all missions.

Practically Licensed - Complete all procedures.

I Immediately Regret This Decision - Electrocute and drug yourself at the same time. During the heart surgery, pick up a scalpel and prod the outlets on the left side. Movement is inversed. To drug yourself, pick up the green needle from needle side, not the handle side.

What Have I Done?? - Lose the patient within 15 seconds. During the brain surgery, pick up the drill and jam it into the patient's skull and brain. Lobotomize them.

Hammer Time - Lose 50,000ml of blood using the hammer. Go nuts with the hammer on the patient.

Keyhole Surgery - Completely remove the rib cage. Use the hand circular saw.

Socialised Medicine! - Perform a heart transplant losing less than 1500ml of blood. If your patient is losing too much blood, stop stabbing him in random areas and use the green needle on him.

I Should Never Have Doubted Myself - Get an A++ rating on a procedure.

Kali Mah! - Perform a heart transplant in under 2 minutes. Do everything I said in the guide except really fast.

At Least He Won't Be Peeing Blood - Perform a double kidney transplant in an ambulance losing less than 600ml of blood.

About As Politically Correct As Fur - Give the patient a... scarf. During the kidney transplant, take the patient's long red intestine and place it on their neck. Wait a minute until the achievement unlocks. If it doesn't unlock, try replacing it again.

Brainstorm - Perform a brain transplant in an ambulance in under 1 minute 15 seconds.

Life's Too Short - Perform a heart transplant in an ambulance in under 2 minutes 30 seconds.

Don't Be Such A Baby, Ribs Grow Back! - Completely smash up the rib cage. You can use the circular hand saw for this. (A Team Fortress 2 Reference. "Meet the Medic" is the video. Thanks Xograph.)

Performance Anxiety - Perform a double kidney transplant losing less than 500ml of blood

Like A Wet Paper Towel - Throw the new heart away (Rooster Teeth Rage Quit Reference. Thanks ModestLaw)

Go For The Optics! - Perform "laser eye surgery". During the brain surgery, pick up the laser tool on the upper right side of the right table. It's the black thing. Shoot the laser on both of the patient's eyes.

How Long Can You Live Without A Brain? - Perform a brain transplant in under 1 minute. Use the hacksaw and be sloppy.

Sweet Blasphemy - Perform a brain transplant losing less than 600ml of blood.

One With The Speed Bumps - Perform a heart transplant in an ambulance losing less than 2000ml of blood.

Don't In-Test My Patience - Perform a double kidney transplant in under 2 minutes 50 seconds.

The Beat Of Your Heart - Replace the heart with the radio.

Mother Hen - Don't lose any tools out of the back of the ambulance. Beat the heart ambulance mission as fast as you can. Use the hammer to mess up the rib cage. Rip everything out. Knife the crap out of the stomach and then immediately knife the crap out of the heart. Replace the heart. I have beaten the brain mission in 32 seconds and it seems to me that either the achievement is broken for this mission or the ambulance floor is considered "out."

A Surgeon's Merit Is Based On Speed - Perform a double kidney transplant in an ambulance in under 3 minutes.

Nigel You Bloody Hero - Perform a brain transplant in an ambulance losing less than 1200ml of blood.

Performance Enhancer? - Complete a procedure after being drugged. (Must be drugged within 10 secs). Pick up the green needle from the needle side within the first 10 seconds of your surgery.

Like An Animal - Throw everything on the floor in the brain transplant surgery. Literal.

Best Surgeon In The World - Get an A++ rating on all procedures.

Surgetricity - Complete a procedure after being electrocuted. (Must be electrocuted within 10 secs). Within the first ten seconds of surgery, pick up a knife and stab the outlet in the upper left corner on the left table (heart surgery).

There Is Nothing More To Teach... - Completed every achievement. Now go save lives!

And They Said It Was Impossible! - Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs). Pick up the green needle by the needle side and then stab the outlet with a knife.

Butter Fingers - Lose every organ out of the back of the ambulance during the heart transplant.

Frikkin' Lasers - Complete a procedure using only the surgical laser. Brain surgery is the easiest.

I'm Sure He'll Live - Complete a procedure with less than 10ml of blood remaining. Just before you are about to complete a procedure, let a patient bleed out until he's at 100ml. Then stab him with the green needle to stabilize him. Wait or wound the patient until they're below 10ml. Then complete the last step of your procedure.

Valve Actually Let Us Do This? - Put in the VHS Tape from the right side of your main desk into the VHS player.

The Sound Of Progress My Friend! - Cut out the old heart, stick the metal rods thingy in it and then use the ubercharge thingy on it.

Archimedes! - The bird is above the heavy's head. Pick up the small heart from inside the refrigerator, align your hand with the heart so that it is in front of the bird, and make sure the heart is upwards. Hurl your arm upwards and release your grip as the arm is being hurled. It should hit the bird.

For Let's Go Practice Medicine - Perform an uber heart transplant. Check my guide TF2 Mission section.

That's How I Lost My Medical License - Perform an uber heart transplant in under 2 minutes 30 seconds. Check my guide TF2 Mission section.

Should I Be Awake For This? - Perform an uber heart transplant losing less than 1000ml of blood. Check my guide TF2 Mission section.

Achievements (Part 3)

After third update.

Call Trisha - Now where did you leave her number... In the reception area, punch in 099326071850 into the phone.

Hah We Probably Made You Do It Again - Perform a heart transplant in space.

No Time To Admire The View - Perform a heart transplant in space in under 1 minute 40 seconds.

Zero G Kidney - Perform a double kidney transplant in space

Stomach O'Clock - Perform a double kidney transplant in space in under 2 minutes

The Surgery Of The Future - Perform a double kidney transplant in space losing less than 400ml of blood.

It's Hardly Rocket Science - Perform a brain transplant in space.

Speedrun Time - Perform a brain transplant in space in under 1 minute. Use a hammer to bash open the skull.

Enter the code - Space Brain Surgery. Top-right corner. Enter 296145. If you mess up, press random digits to reset the keypad.

???? - Screw The Prime Directive. Put in the Alien Code VHS tape in the VHS tape player in the reception area.

I Have No Idea What I'm Doing - Smash all canisters within 10 seconds. In the alien mission, pick up the hammer and bash all the canisters. Easy.

It's In! It's In I Tell You! - ...and it was going so well. Standard heart surgery. Take the new heart and put it upside down into his chest. Kill the patient

Let's See That Sick Filth Again - Perform a 180° spoon flip. Enter the standard kidney surgery (2 spoons). Grab a spoon and move your hand to the middle. Turn your hand around and tilt your hand down. Smoothly tilt your hand up and try to catch and grab the spoon in the air. You'll need to grab the spoon in order to count towards the achievement, simply letting it fall down on your hand won't count. The game's detection doesn't work so well. I did it by picking up a spoon, palm to the sky, flicked my wrist up and down a few times without letting go of the spoon, and I got it.

We're Going On An Adventure! - Take your radio with you. Go to the Space Brain Transplant. Move your hand to the upper right corner to the keypad. Enter "296145" (if you enter a wrong digit just press random numbers so that it resets and you can start again). Immediately after entering the right numbers, grab the radio and hold it.

Nothing But Skull - Complete a brain transplant by throwing. Enter a brain surgery. Completely remove the head's skull. Remove the old brain. Grab the new brain and move your hand to the bottom of the screen. With your palm facing the sky, make a throwing move and hope that you hit. It's all in the wrist. Try not to move the head and try to clear as much skull as possible. It helps to have the brain on the finger tips, because the brain will travel farther. Another way to get the brain in is to not flick your wrist but to just move your arm forward A LITTLE BIT, release the brain, retract the arm back to the back, and let the brain fall in there. I tried the second method several times and unfortunately on a few occasions when I got it in, I believe that I was too close to the skull when I pushed my arm forward. Still, I eventually got it. I prefer the arm pushing method.

In Space, No One Can Hear You Bleed - Perform a heart transplant in space losing less than 400ml of blood. Remove the rib cage by using the green hand saw. Tap the saw on the 8 spots to remove the rib cage. You should have lost almost 300ml of blood. The rest, you can do carefully and easily with the scalpel. Cut out the pink tube and the 3 spots to the heart. Push in the new heart. Time is not a factor so you can carefully place your tools where you want in advance.

Precision Instrument Time - Perform a brain transplant in space losing less than 600ml of blood. Take off the skull cap with the green hand saw. Do not touch the brain with the tool and only tap the skull gently and briefly. You should have 5100ml+ of blood left over. This is enough to jab a sharp object into the nerve to cut it. The rest is easy. Time is not a factor so you can carefully place your tools where you want in advance. You should have 0ml rate of blood loss.

Best Surgeon In The Universe - Complete all 6 secret transplants. Succesfully end all 6 different Alien Surgeries. The 6 different transplants/organs are: Pewdsball, Birgirspallex, Gobbleshaft, Cubed Trangrifier, Gavichal, Robbaloraz Check the "alien surgery" section of my guide.

Achievements (Anniversary)

I Am A Genius! - Create a Hammerhead shark. Hit the patient in the head with a hammer. Maybe with just the fist?

The Goggles Do Nothing - Completely smash up the goggles... duruing the eye surgery.

Eye've No Idea What I'm Doing - Perform an eye transplant.

Heterochromia - Give the patient heterochromia. Give the patient two different eyes.

Like a hotdog down a hallway - Perform a corridor heart transplant.

Trust Me, I'm Not A Dentist - Perform a teeth transplant.

Grin And Bear It - Remove all teeth during the teeth transplant surgery.

We're Going Bowling! - Perform a corridor brain transplant.

What A Load Of Bull - Listen to the surgeon rap. I picked up the radio during corridor heart surgery and during regular heart surgery, and then I tried to to bash it against the table and patient and swing it around. No achievement. Anyone?

Delivery Coming Through - Perform a corridor double kidney transplant.

Keep Your Eyes On The Road - Perform an eye transplant in an ambulance.

Don't Run With Scalpels - Perform a corridor eye transplant.

My Eyesight Means A Lot To Me - Perform an eye transplant in space.

Brace For Surgery - Perform a teeth transplant in an ambulance.

Mobile Dentistry - Perform a corridor teeth transplant.

Orbital Dentist - Perform a teeth transplant in space.

Lumberjack - Cut out the eyes using the surgical axe.

Those Are Some Healthy Gums - Perform a teeth transplant losing less than 500ml of blood.

Eye Of The Space Storm - Perform an eye transplant in space in under 2 minutes 20 seconds.

First Success - Complete an alien organ transplant.

You're Free Now - Set the Gobbleshaft free.

Expert Space Stalker - Perform an eye transplant in space losing less than 700ml of blood.

You Can't Handle The Tooth! - Complete the tooth transplant only removing the rotten teeth. I'll figure this out later :-/

No Need To Curb Stomp Him - Perform a teeth transplant in an ambulance losing less than 600ml of blood.

The Tooth Is Out There - Perform a teeth transplant in space in under 2 minutes.

Maintained Healthy Gums At Least - Perform a teeth transplant in space losing less than 500ml of blood.

Blinding Speed Surgery - Perform a corridor eye transplant in under 2 minutes and 30 seconds.

Don't Even Need A Bucket - Perform a corridor heart transplant losing less than 1000ml of blood

Right Tools At The Right Time - Perform a corridor double kidney transplant in under 2 minutes and 40 seconds.

I Can't Work Under These Conditions! - Perform a corridor heart transplant in under 2 minutes and 30 seconds.

You May Feel A Light Tapping - Perform a teeth transplant in under 2 minutes.

Blink And You'll Miss It - Perform an eye transplant in under 2 minutes.

No More Worse Than Shampoo - Perform an eye transplant losing less than 600ml of blood.

Tunnel Vision - Perform a corridor double kidney transplant losing less than 600ml of blood

The Speed Of A Neuron - Perform a corridor brain transplant in under 1 minute 30 seconds.

I Can See For Miles... Per Hour - Perform an eye transplant in an ambulance in under 1 minute and 40 seconds.

At Worst, You're Now Colourblind - Perform an eye transplant in an ambulance losing less than 700ml of blood.

Open Really Wide - Perform a corridor teeth transplant losing less than 600ml of blood

Keep Fidgeting To A Minimum - Perform a corridor teeth transplant in under 2 minutes and 20 seconds.

The Brains Of The Operation - Perform a corridor brain transplant losing less than 750ml of blood.

Won't Even Need Glasses! - Perform a corridor eye transplant losing less than 1000ml of blood

Not The Time Or Place For Precision - Perform a teeth transplant in an ambulance in under 2 minutes and 15 seconds.

[BunnyChara]

the game just doesn't finish after i put the heart back in wtf am i doing wrong

[Zambonilord]

These video are Fraudulent. They are modified versions of the game. I've dropped kidneys into the body the same way and I was not declared the winner.

[Peytond2008]

I can't get the Pinky Swear achievement for some reason.

[bagaboiebailey]

The needle on the brain surgury works best when used as far down the neck as possible (the face and brain both are very sensitive so putting the needle in on them will pretty much ruin any quality /A++ run you are on, as I've learned the hard way multiple times).

[lord_opossum]

GirlyGamer_01 press the power button on the Trump remote to get the trump surgery

[MystericalGirl_01]

Squid how to you get to the Alien surgery? Is it the email for the Trump surgery? And squid what is the email for the Club Bossy on the MY-PAD in the main meun of the game, on the right

[SquidTechGaming]

cant finish the stupid alien surgery. rip me

[DaringSpino34]

I HATE THE NOTHING BUT SKULL ACHIEVEMENT. IT'S BULLSHIT

[justin]

for archiemdies... put the big heart on the uber thingy and hold it by the thingy then go for the bird you don't need to let go

[justin]

for What A Load Of Bull... heart ambulance sugrey... kill bob and wait for flatline to end