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Anyone experience something similar?
See below, its a feature. Unfortunately there's little I can do to make it more discoverable, since Rimworld doesn't show surgeries (or any recipe, for that matter) at all until it's unlocked.
Huh, could have sworn I put that all in the tooltips but I guess it never made it in. It'll be in the next version, but until then the relevant techs are Simple apparel, Prosthetics and Penoxycyline on normal, and Medicinal herbs, Complex clothing and Drug production on easy.