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You'll get less patients with Plastic surgery as the patient weighting is less (you can adjust that here if you want to: steamapps\workshop\content\868360\2137302545\Database\ModDepartment and modify ModDepartments.xml and change <PatientGenerationWeight> to say 40 or 50) but you should get some at least.
Otherwise if you keep having issues please post your log file (pastebin or on the PH discord will be fine as it wont fit here). You can find it here:
Log Location:
Win: C:\Users\USERNAME\AppData\LocalLow\Oxymoron Games\Project Hospital\output_log.txt
If you have problem accessing the hidden AppData folder, try entering %AppData% in windows explorer
Linux: /home/USERNAME/.config/unity3d/Oxymoron Games/Project Hospital/Player.log
Mac: ~/Library/Logs/Unity/Player.log