How to save a life - Surgeon Simulator walkthrough for iPad

Bonkers operation game Surgeon Simulator is all about trying to perform delicate organ transplants while wrestling with (intentionally) rubbish controls.

There are four different transplants in the game: heart, kidneys, eyes, and teeth.

In each operation, you need to follow some set instructions to replace the dodgy organs, and keep your patient - Bob - alive.

In this guide, we'll walk you through the main steps you need to take to complete each operation, and provide some general tips for stemming blood loss and reducing Bob's heart rate.

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General tips



You'll find basic walkthroughs for each operation type on the iZac PDA on the main menu. These show you the tools you should use along each step of the way.



The green syringe reduces blood loss. Keep an eye on the meter in the top-right-hand corner and reach for the syringe if Bob starts to leak blood like a serial killer's sponge.

Just aim the syringe anywhere on Bob's body and repeatedly jab the poor bloke to stem blood loss and bring it back down to 0ml/s.



The blue button reduces Bob's heart rate. Jab the button to bring his BPM down, then press it again to stop. Keep it floating just below 100 to be safe.



If Bob's heart rate drops to zero (and the screen starts flashing red), you can use the defibrillators to resuscitate him.

Press the green heart button and wait for the yellow bars to fill. Grab both paddles with two fingers and then press them to his chest.



If you complete all four levels, you can replay them in corridor mode. Here, Bob and your utensils are on wheels and speeding down the world's longest hospital hallway.

Extra Game Center achievements are up for grabs for completing these.



Your final grade is based on the time taken and Bob's final blood level. The best you can get is an A++.

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Operation 1 - heart transplant

Our first mission is to swap out Bob's heart. We need to saw open his rib cage, remove a few nuisance organs, excise his dodgy ticker, and chuck in the donor organ.

Here's how:



First things first, find the green spinning saw. Tap the yellow button to start the motor, then grab it to start cutting away at the ribs so you'll be able to remove the entire rib cage.

Pause after every few ribs to lower Bob's heart rate and blood loss. You should try to cut as close to the side on Bob's left (your right) so you'll have easy access to his heart.



Pull out the rib cage and throw it away. Pull out the lungs and chuck those away, too. Remove any bits of bone around the heart with your finger.



Grab a scalpel and cut the two arteries - one red and one purple - leading to the heart. You'll know you've done it right when the organ stops pumping away.

Grab Bob's heart and chuck it away.



Tap on the two latches on the organ transplant box and pull open the lid. Grab the heart, target the gaping wound in Bob's chest, and shove the fresh thumper in to finish the operation.

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Operation 2 - kidney transplant

Next, we gotta rip out Bob's busted kidney beans and replace them with shiny new ones.

We'll need to cut out his small and large intestines; remove his kidneys; and insert the donor organs.



Grab the biggest scalpel on the table and cut out the large intestines by cutting around the two marked areas on the screenshot. When it comes loose, pull it out. Wrap it around Bob's neck for a sadistic Game Center achievement.



Using the same scalpel, cut out the small intestine by slicing away at the areas marked in red in the above screenshot.

Once it's free, remove it and throw it across the room.



Grab this special kidney extractor tool and cut away at the diseased beans. You can always pull out the spleen - or whatever that red organ is - if you need more room.

As ever, pull out the kidneys and throw 'em away.



Finally, open the organ donor box by tapping on the two latches and then pulling open the lid. Take each kidney (be careful not to accidentally shunt one off the table) and chuck them in Bob's chest.

Fiddle around with them and try to get them as close to the old kidney positions as possible, and you'll finish the operation.

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Operation 3 - eye transplant

This one is not for the squeamish (hi!).

To replace Bob's eye, we're gonna need to remove his goggles, pop his eyes, dislodge them from his skull with a hammer, and cut off the nerves. Gross.

Here's how:



Grab a pair of scissors, aim at the goggle strap on the side of Bob's head and jab at it repeatedly until it breaks. Repeat on the other side and the goggles will break free.



Grab a thin scalpel and jab Bob in the eye until it pops. You'll know you've done it right when his eye is no longer hidden behind his eyelid and is now staring intently into your soul.



Grab the small hammer, aim at Bob's temple near the eye on which you're currently working, and strike repeatedly until the eye is dislodged.

Sick bags at the ready, chaps.



Use a scalpel to chop away at the nerve fibres until the eye falls off.



Grab an eye from the pot, aim at the empty eye socket, and slot the peeper in. Once you're done, repeat the process on Bob's other eye.

The operation will be complete once you've replaced both of Bob's eyes.

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Operation 4 - teeth transplant

Time to play dentist now.

Bob's got some decaying gnashers, so you're going to drill them out and replace them with fresh pearly whites.

Here's how:



First things first, we need to remove his mask the only way we know how: by wildly stabbing at it with a dangerous utensil.

In this case, we're talking about the scissors. Stab the left and right straps until the mask falls off.



Find the drill and press the black button to start it whirring. Grab it, aim at one of the grey teeth, and get to work.

Slow and steady is the key to success here. If you just grind away at Bob's teeth and avoid sticking the drill in his face, you will not cause any blood loss at all.

Carefully excise the dodgy teeth until there's absolutely no grey left - not even little stumps.



Grab a tooth, aim at one of the now-open slots in Bob's gum line, and guide that baby in. There doesn't seem to be any need to choose the right teeth for the right holes, so just go wild.

Fill every hole with a tooth to finish the operation. If a tooth won't go in, try a different type of tooth or get the drill back out and grind away at any leftover grey stuff.