Surgeon Simulator: Anniversary Edition (PlayStation 4)

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Alien transplants

Complete every type of operation. A new black floppy disk marked with "????" will appear in the computer tray. Insert the floppy disk into the computer to begin the Space operations. Complete all of the Space operations. Load the Space Brain Transplant and look for a keypad to the right of the patient. Use your index or middle finger to enter "296145" on the keypad. The lights will flash red to confirm correct code entry. After flying out of the operation, you will return to the desk at the main menu. A new VHS tape will appear to your right, with alien characters on the label. Insert the VHS tape and numbers will appear on the video screen. After blacking out and waking up, you will see another keypad. Enter "4948" on the keypad to start the Alien transplants.

Easy "Best Surgeon In The Universe" trophy

Use the "Secret alien transplants" code to start the alien transplants. Then, successfully complete the following six transplant surgeries, which are selected randomly, to get the "Best Surgeon In The Universe" trophy. Note: Break the organ canisters with your hand after you remove all the necessary parts.

Birgirspallex: Blue organ that resembles an intestine, which is wrapped around the Pewdsball.

Cubed Trangrifier: Black cube with a blue dot. You will get an electric shock when it is removed.

Gavichal: Little orange organ in the upper-right part of the body.

Gobbleshaft: Immediately below the alien's chest is a green-blue object in the middle that seems to remain alive if you cut it out. Cut it directly at the middle and not at the outer borders.

Pewdsball: Large orange ball with black wound lines.

Robbaloraz: Attached to the Birgirspallex, and located under the Gobbleshaft. Blue with green dots and resembles a liver.

Easy "I Should Never Have Doubted Myself" trophy

Start the first kidney surgery. Take one of the scissors laying on the left table or in a cup on the right, as they will cause the least damage to Bob. Cut out the intestines out without doing too much extra damage. Next, do the same for the stomach then the liver. Slice the kidneys out and put the new ones in. You must finish with about 5,200 ml of blood.

Easy "Lumberjack" trophy

During any type of eye surgery, after the eyes have popped out of the skull and are hanging by the optic nerves, use the axe to cut those nerves. Cut the nerves of both eyes.

Easy "Pinky Swear" achievement

While in the heart surgery, hold down all your fingers except for the pinky and press your hand into the ribcage. Note: Disable the Anniversary Edition DLC if it has been installed.

Easy "Screw The Prime Directive" trophy

After earning the "Enter The Code" trophy, you find a new VHS tape on your desk. Use it then enter the numbers shown on it, "4948".

Easy "Vworrrp Vworrrp" trophy

Start the regular heart transplant operation. Use a hammer to open the rib cage and begin cutting out organs. Remove everything except for the heart. Keep the regular beating heart in place. Once the chest cavity is cleared out and only contains the heart, look to the right of the patient and get the new transplant heart from the container. Place it into the patient so it has two hearts.

Easy "What A Load Of Bull" trophy

Take the clock radio to the right of the phone on the desk in the reception area. Smash it against other objects until music begins to play. Try rotating a hand with the radio so that the bottom of the radio faces the television and VCR to the right, then kick it against them several times. You can drop the radio after the music starts.

Various Trophies

Complete the following tasks to unlock PlayStation 4 trophy rewards.

TrophyHow to unlock
A Surgeon's Merit Is Based On Speed (Bronze)Perform a double kidney transplant in an ambulance in under 2 minutes.
About As Politically Correct As Fur (Bronze)Give the patient a... scarf.
And They Said It Was Impossible! (Silver)Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs)
Best Surgeon In The Universe (Gold)Complete all 6 secret transplants.
Best Surgeon In The World (Gold)Get an A++ rating on all procedures.
Blink And You'll Miss It (Bronze)Perform an eye transplant in under 2 minutes and 30 seconds.
Brainstorm (Bronze)Perform a brain transplant in an ambulance in under 1 minute 30 seconds.
Call Trisha (Bronze)Now where did you leave her number...
Doctor Doctor, Give Me The News (Bronze)Answer the phone.
Don't Even Need A Bucket (Bronze)Perform a corridor heart transplant losing less than 900ml of blood
Don't In-Test My Patience (Bronze)Perform a double kidney transplant in under 3 minutes.
Enter The Code (Bronze)I'm not sure that was worth it...
Expert Space Stalker (Bronze)Perform an eye transplant in space losing less than 1000ml of blood.
First Success (Bronze)Complete an alien organ transplant.
Hammer Time (Bronze)Lose 50,000ml of blood using the hammer.
Heterochromia (Bronze)Give the patient heterochromia.
How Long Can You Live Without A Brain? (Bronze)Perform a brain transplant in under 1 minute.
I Can See For Miles... Per Hour (Bronze)Perform an eye transplant in an ambulance in under 2 minutes and 10 seconds.
I Have No Idea What I'm Doing (Bronze)Smash all canisters within 10 seconds.
I Immediately Regret This Decision (Bronze)Electrocute and drug yourself at the same time.
I Should Never Have Doubted Myself (Silver)Get an A++ rating on a procedure.
I Think I Got This (Bronze)Perform a heart transplant.
I'm Sure He'll Live (Bronze)Complete a procedure with less than 10ml of blood remaining.
In Space, No One Can Hear You Bleed (Bronze)Perform a heart transplant in space.
It's In! It's In I Tell You! (Bronze)...and it was going so well.
It's Life Jim, But Not As We Know It (Bronze)Perform a heart transplant in space losing less than 800ml of blood.
Kali Mah! (Bronze)Perform a heart transplant in under 1 minute 50 seconds.
Keyhole Surgery (Bronze)Completely remove the rib cage.
Life's Too Short (Bronze)Perform a heart transplant in an ambulance in under 1 minutes 40 seconds.
Like A Wet Paper Towel (Bronze)Throw the new heart away in the surgery.
Like a hotdog down a hallway. (Bronze)Perform a corridor heart transplant.
Lumberjack (Bronze)Cut out the eyes using the surgical axe.
Maintained Healthy Gums At Least (Bronze)Perform a teeth transplant in space losing less than 600ml of blood.
Nigel The Secretary (Bronze)Go about your secretarial duties.
Nine Nine Nine! (Bronze)Perform a heart transplant in an ambulance.
Not The Time Or Place For Precision (Bronze)Perform a teeth transplant in an ambulance in under 1 minute and 50 seconds.
Nothing But Skull (Silver)Complete a brain transplant by throwing it in.
Open Really Wide (Bronze)Perform a corridor teeth transplant losing less than 550ml of blood
Practically Licensed (Bronze)Complete all procedures.
Precision Instrument Time (Bronze)Perform a brain transplant in space losing less than 600ml of blood.
Spaaaaaaaaace (Bronze)Go where no surgeon has gone before.
The Beat Of Your Heart (Bronze)Replace the heart with something else.
The Brains Of The Operation (Bronze)Perform a corridor brain transplant losing less than 750ml of blood.
The Goggles Do Nothing (Bronze)Completely smash up the goggles.
The Surgery Of The Future (Bronze)Perform a double kidney transplant in space losing less than 700ml of blood.
There Is Nothing More To Teach... (Platinum)Completed every achievement. Now go save lives!
Tunnel Vision (Bronze)Perform a corridor double kidney transplant losing less than 800ml of blood
Vworrrp Vworrrp (Bronze)Create a Time Lord.
We're Going On An Adventure! (Bronze)Take your radio with you.
What Have I Done?? (Bronze)Lose the patient within 15 seconds.
Won't Even Need Glasses! (Bronze)Perform a corridor eye transplant losing less than 1250ml of blood
You Can't Handle The Tooth! (Silver)Complete the tooth transplant only removing the rotten teeth.
You May Feel A Light Tapping (Bronze)Perform a teeth transplant in under 3 minutes.