| Achievement | How to unlock
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| - Collect all floppy disks.
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- A Surgeon's Merit Is Based On Speed
| - Perform a double kidney transplant in an ambulance in under 3 minutes.
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- About As Politically Correct As Fur
| - Give the patient a... scarf.
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- And They Said It Was Impossible!
| - Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs)
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- At Least He Won't Be Peeing Blood
| - Perform a double kidney transplant in an ambulance losing less than 600ml of blood.
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- Best Surgeon In The World
| - Get an A++ rating on all procedures.
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| - Perform a brain transplant in an ambulance in under 1 minute 15 seconds.
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| - Lose every organ out of the back of the ambulance during the heart transplant.
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- Doctor Doctor, Give Me The News
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- Don't Be Such A Baby, Ribs Grow Back!
| - Completely smash up the rib cage.
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- Don't In-Test My Patience
| - Perform a double kidney transplant in under 2 minutes 50 seconds.
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| - Show the patient your disdain.
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| - Complete a procedure using only the surgical laser.
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| - Perform "laser eye surgery".
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| - Lose 50,000ml of blood using the hammer.
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- How Long Can You Live Without A Brain?
| - Perform a brain transplant in under 1 minute.
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- I Immediately Regret This Decision
| - Electrocute and drug yourself at the same time.
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- I Should Never Have Doubted Myself
| - Get an A++ rating on a procedure.
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| - Perform a brain transplant.
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| - Complete a procedure with less than 10ml of blood remaining.
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- It's Life Jim, But Not As We Know It
| - Perform a heart transplant.
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| - Perform a heart transplant in under 2 minutes.
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| - Completely remove the rib cage.
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| - Perform a heart transplant in an ambulance in under 2 minutes 30 seconds.
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| - Throw the new heart away.
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| - Throw everything on the floor in the brain transplant surgery.
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| - Don't lose any tools out of the back of the ambulance.
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| - Go about your secretarial duties.
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| - Perform a brain transplant in an ambulance losing less than 1200ml of blood.
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| - Perform a heart transplant in an ambulance.
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| - Perform a heart transplant in an ambulance losing less than 2000ml of blood.
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| - Perform a double kidney transplant losing less than 500ml of blood.
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| - Complete a procedure after being drugged. (Must be drugged within 10 secs)
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| - Make a promise with the ribcage.
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| - Perform a heart transplant losing less than 1500ml of blood.
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| - Go where no surgeon has gone before.
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| - Express your appreciation of the metal.
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| - Complete a procedure after being electrocuted. (Must be electrocuted within 10 secs)
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| - Perform a brain transplant losing less than 600ml of blood.
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| - Replace the heart with something else.
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- There Is Nothing More To Teach...
| - Completed every achievement. Now go save lives!
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- What Could Possibly Go Wrong?
| - Perform a brain transplant in an ambulance.
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| - Lose the patient within 15 seconds.
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- When You Have No Choice But To Operate
| - Perform a double kidney transplant in an ambulance.
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- You've Got To Be Kid'n'ey!
| - Perform a double kidney transplant.
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