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Here is a list of all the achievements you can get in Surgeon Simulator 2013.
Also check the Media section below to get some video guides that might help you.

Main Game Achievements[]

Picture Name Description Additional information/Trivia
It's Life Jim, But Not As We Know It It's Life Jim, But Not As We Know It Perform a heart transplant.
  • This was the first operation and the only available operation in the prototype for the game
  • Achievement name is a reference to the lyric "It's life, Jim, but not as we know it." from the song "Star Trekkin" by the Firm, which has been misattributed to the Star Trek TV series.
Kali Mah Kali Mah! Perform a heart transplant in under 2 minutes.
  • This is a reference to Indiana Jones and The Temple Of Doom, where a member of the Thugee clan rips out a man's heart while shouting the chant "Kali Mah!"
Socialised Medicine Socialised Medicine! Perform a heart transplant losing less than 1500ml of blood.
  • The NHS is an example of socialised medicine.
Nine Nine Nine! Nine Nine Nine! Perform a heart transplant in an ambulance.
  • "999" is an international number for emergency services.
Life's Too Short Life's Too Short Perform a heart transplant in an ambulance in under 2 minutes 30 seconds.
  • Only triggers under 1 minute 40 seconds.
One With The Speed Bumps One With The Speed Bumps Perform a heart transplant in an ambulance losing less than 2000ml of blood.
You've Got To Be Kid'n'ey You've Got To Be Kid'n'ey! Perform a double kidney transplant.
  • Pun on the phrase "You've got to be kidding me!"
Don't In-Test My Patience Don't In-Test My Patience Perform a double kidney transplant in under 2 minutes 50 seconds.
  • The name is a portmanteau of "Don't test my patience" and "intestine".
Performance Anxiety Performance Anxiety Perform a double kidney transplant losing less than 500ml of blood.
When You Have No Choice But To Operate When You Have No Choice But To Operate Perform a double kidney transplant in an ambulance.
A Surgeon's Merit Is Based On Speed A Surgeon's Merit Is Based On Speed Perform a double kidney transplant in an ambulance in under 3 minutes.
At Least He Won't Be Peeing Blood At Least He Won't Be Peeing Blood Perform a double kidney transplant in an ambulance losing less than 600ml of blood.
I Think I've Got This I Think I've Got This Perform a brain transplant.
How Long Can You Live Without A Brain How Long Can You Live Without A Brain? Perform a brain transplant in under 1 minute.
Sweet Blasphemy Sweet Blasphemy Perform a brain transplant losing less than 600ml of blood.
What Could Possibly Go Wrong What Could Possibly Go Wrong? Perform a brain transplant in an ambulance.
Brainstorm Brainstorm Perform a brain transplant in an ambulance in under 1 minute 15 seconds.
Nigel You Bloody Hero Nigel You Bloody Hero Perform a brain transplant in an ambulance losing less than 1200ml of blood.
Shh I Doctor Now Shh I Doctor Now Calm your patient.
  • Press A, W, E and SPACE. Then move your finger over to the mouth of the patient.
Flippin' The Bird Flippin' The Bird Show the patient your disdain.
  • To trigger this achievement, simply hold A, W, R, and Space in front of the patient.
Surgery Horns Surgery Horns Express your appreciation of the metal.
  • Hold W, E, and Space.
Pinky Swear Pinky Swear Make a promise with the ribcage.
  • Hold W, E, R, and Space, then touch the ribcage with the pinky finger.
  • Broken in A&E.
Surgetricity Surgetricity Complete a procedure after being electrocuted. (Must be electrocuted within 10 secs)
  • Portmanteau of the words "surgeon" and "electricity", also a pun on electrical surges.
Performance Enhancer Performance Enhancer? Complete a procedure after being drugged. (Must be drugged within 10 secs)
I Immediately Regret This Decision I Immediately Regret This Decision Electrocute and drug yourself at the same time.
And They Said It Was Impossible And They Said It Was Impossible! Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs)
  • Can be cheesed with the brain transplant while having A&E disabled.
Butter Fingers Butter Fingers Lose every organ out of the back of the ambulance during the heart transplant.
  • Bones do not need to be thrown out. The new organs must be thrown out as well as the old ones.
What Have I Done What Have I Done?? Lose the patient within 15 seconds.
  • Harder to get in the mobile version due to not having the brain transplant.
  • References a quote from the Game Jam version.
Hammer time Hammer Time Lose 50,000ml of blood using the hammer.
  • Reference to an old message in the Game Jam version. Further reference to "U Can't Touch This" by MC Hammer.
Mother Hen Mother Hen Don't lose any tools out of the back of the ambulance.
  • The faster you can complete the operation, the fewer are the chances of tools flying away.
Keyhole Surgery Keyhole Surgery Completely remove the rib cage.
  • This achievement can be unlocked simultanously with 'Don't be such a baby, ribs grow back', when successfully done in the Special Operation Meet the Medic
Practically Licensed Practically Licensed Complete all procedures.
  • The graduation certificate is given after all procedures are unlocked, so you are now, quite literally, "practically licensed"
I Should Never Have Doubted Myself I Should Never Have Doubted Myself Get an A++ rating on a operation.
Best Surgeon In The World Best Surgeon In The World Get an A++ rating on all (terrestrial) operations.
  • It is not required that you get A++ on every surgery
Like a wet paper towel Like A Wet Paper Towel Throw the new heart away.
  • The name of this achievement is taken from an exchange between Michael Jones and Gavin Free, hosts of an episode of Rooster Teeth's Rage Quit. This happens at around 10:00  in the video
I'm Sure He'll Live I'm Sure He'll Live Complete a procedure with less than 10ml of blood remaining.
  • "I'm sure he'll live" is the same message given at the end of a successful surgery.
Like An Animal Like An Animal Throw everything on the floor in the brain transplant surgery.
Vworrrp Vworrrp Vworrrp Vworrrp Create a Time Lord.
  • In the normal Heart Transplant, remove every organ except for the heart and throw the new heart into the body so the patient has two hearts
  • Reference to the Dr Who franchise.
The Beat Of Your Heart The Beat Of Your Heart Replace the heart with something else.
  • Take the radio and put it into the empty chest during the heart transplant (instead of the new heart)
Frikkin' Lasers Frikkin' Lasers Complete a procedure using only the surgical laser.
  • The name of this achievement is a reference to Austin Powers in Goldmember, where Dr. Evil requests that they make sharks "with frikkin' laser beams on their heads!!!"
  • More about the achievement on its corresponding page: Frikkin' Lasers
Doctor Doctor, Give Me The News Doctor Doctor, Give Me The News Answer the phone.
  • In the reception, simply wait until the phone starts ringing and answer it
  • This is the highest unlocked achievement in the game (81.2%)
  • Achievement named after the 1978 song "Bad Case of Loving You"
Nigel The Secretary Nigel The Secretary Write on a notepad.
  • The notepad in the A&E reception desk can still be written on.
Laser eye Go For The Optics! Perform "laser eye surgery".
  • Ironically, this is not unlocked in the eye transplant as the achievement predates Anniversary Edition.
10 Megabytes Of Raw Data 10 Megabytes Of Raw Data Collect all floppy disks.
Space Spaaaaaace Go where no surgeon has gone before. (Space)
  • This achievement's picture depicts the Space Core from the popular first person physics platformer Portal 2.
  • This achievement's title is a reference to the popular Space Core quote.
Medic Don't Be Such A Baby, Ribs Grow Back! Completely smash up the rib cage.
  • The achievement name is a reference to a quote from the Team Fortress 2 promotional video, Meet the Medic, which is said after the Medic breaks off part of the Heavy's rib.
  • The Medic from Team Fortress 2 is depicted in the icon.
  • If not already unlocked, this also unlocks Keyhole Surgery
About As Politically Correct As Fur About As Politically Correct As Fur Give the patient a... scarf.
  • In the Double Kidney Transplant, put the large intestine on Bob's neck.
  • Additionally, it is a possible reference to Achievement Hunter's Michael and Gavin, where they put the large intestine on Bob's neck during the second SS Rage Quit.
  • "His neck looks cold, let's give him a scarf."
There Is Nothing More To Teach There Is Nothing More To Teach... Completed every achievement. Now go save lives!
  • Please do not actually try and save lives through surgery learned from this game.

Meet the Medic Achievements[]

These achievement were added with the "Meet The Medic" Crossover DLC of 21/06/2013:

Picture Name Description Additional information
Valve Actually Let Us Do This Valve Actually Let Us Do This? Insert the "Team Fortress 2" VHS tape.
  • Start the Special Team Fortress 2 operation by inserting the VHS tape from the reception into the VHS player
Let's Go Practice Medicine Let's Go Practice Medicine Perform an uber heart transplant.
  • Said by the Medic after he successfully completes the Heavy's Über heart transplant.
That's How I Lost My Medical License That's How I Lost My Medical License Perform an uber heart transplant in under 2 minutes 30 seconds.
  • Said by the Medic
Should I Be Awake For This Should I Be Awake For This? Perform an uber heart transplant losing less than 1000ml of blood.
  • Said by the Heavy
The Sound Of Progress My Friend The Sound Of Progress My Friend! Explode a heart.
  • Take the small heart out of the fridge or the Heavy, insert the uber device into it and try to ubercharge it.
  • Said by the Medic to the Heavy to put him at ease after he explodes the Heavy's original heart.
Archimedes Archimedes! Hit Archimedes with a heart.
  • Take one of the hearts and throw it at the dove sitting on the upper end of the room.

All of the Meet the Medic DLC achievements (Except for "Valve Actually Let Us Do This?") are named after lines in the official Meet the Medic trailer.

Space/Alien DLC Achievements[]

These achievements were added with the Space/Alien DLC of 25/09/2013:

Picture Name Description Additional information
Call Trisha Call Trisha Now where did you leave her number...
  • In the reception, use the phone to enter the number 099326071850.
  • There is a green memo on the desk in the main menu which says to "Call Trisha!". The phone number below is crossed out and you cannot call Trisha or someone else with this number (even if you identify and enter it) but it does mean something. If you look at the phone number 01904002013, it can turn out to be the release date of the game: 19/04/2013.
  • It is implied that Trisha is Nigel's girlfriend, though on the 'space' surgery section of the operations list, there are two annotations saying 'Wrong number!' and 'She lied!', implying Nigel and Trisha may not actually be in a serious relationship. Said annotations also explain why the number on the note isn't correct.
It's In I Tell You It's In! It's In I Tell You! ...and it was going so well.
  • Remove all organs from the patient, insert the new heart upside down and kill the patient
  • The name of the achievement is a reference to Pewdiepie's video when he was performing a heart transplant. He got stuck because the heart "was in", (upside down, mind you) and said the quote that the achievement is named after.
Nothing But Skull Nothing But Skull Complete a brain transplant by throwing it in.
Let's See That Sick Filth Again Let's See That Sick Filth Again Perform a 180° spoon flip.
Hah We Probably Made You Do It Again In Space, No One Can Hear You Bleed Perform a heart transplant in space.
  • Based on the tagline of Alien (1979); "In space, no one can hear you scream."
No Time To Admire The View No Time To Admire The View Perform a heart transplant in space in under 1 minute 40 seconds.
In Space, No One Can Hear You Bleed Just Enough To Clog The Gravity Engine Perform a heart transplant in space losing less than 400ml of blood.
Zero G Kidney Zero G Kidney Perform a double kidney transplant in space.
Stomach O'Clock Stomach O'Clock Perform a double kidney transplant in space in under 2 minutes.
  • This achievement is a reference to BirgirPall, when he drops his watch in Bob's intestines.
The Surgery Of The Future The Surgery Of The Future Perform a double kidney transplant in space losing less than 400ml of blood.
It's Hardly Rocket Science It's Hardly Rocket Science Perform a brain transplant in space.
Speedrun Time Speedrun Time Perform a brain transplant in space in under 1 minute.
Precision Instrument Time Precision Instrument Time Perform a brain transplant in space losing less than 600ml of blood.
Enter The Code Enter The Code I'm not sure that was worth it...
  • Unlocks the alien surgery.
We're Going On An Adventure! We're Going On An Adventure! Take your radio with you.
  • In the Space Brain Transplant, insert the code 296145 into the keypad on the right corner and immediately grab the radio while warping
Achievement question marks Screw The Prime Directive Reveal your next patient.
  • The name is likely a reference to the star trek prime directive of not interfering with non-advanced alien life
  • Complete Enter The Code, insert the VHS tape in the reception and enter the code listed on the screen.
I Have No Idea What I'm Doing I Have No Idea What I'm Doing Smash all canisters within 10 seconds.
  • The timer for the 10 seconds starts once the screen shows the message "Perform a ... transplant"
Best Surgeon In The Universe Best Surgeon In The Universe Complete all 6 secret transplants.
  • Complete all Alien operations

Anniversary Edition Achievements[]

These achievement were added with the Surgeon Simulator 2013 Anniversary Edition of 14.08.2014:

Picture Name Description Additional information
Eye've No Idea What I'm Doing Eye've No Idea What I'm Doing Perform an eye transplant
Blink And You'll Miss It Blink And You'll Miss It Perform an eye transplant in under 2 minutes
No More Worse Than Shampoo No More Worse Than Shampoo Perform an eye transplant losing less than 600 ml of blood
Trust Me, I'm Not A Dentist Trust Me, I'm Not A Dentist Perform a teeth transplant
  • May be a reference to the video "Trust me I'm an engineer!"
You May Feel A Light Tapping You May Feel A Light Tapping Perform a teeth transplant in under 2 minutes
Those Are Some Healthy Gums Those Are Some Healthy Gums Perform a teeth transplant losing less than 500 ml of blood
Like a hotdog down a hallway. Like a hotdog down a hallway Perform a corridor heart transplant
  • This achievement on the Mobile version is called "At least it's not the ambulance"
I Can't Work Under These Conditions! I Can't Work Under These Conditions! Perform a corridor heart transplant in under 2 minutes and 30 seconds
Don't Even Need A Bucket Don't Even Need A Bucket Perform a corridor heart transplant losing less than 1000 ml of blood
Delivery Coming Through Delivery Coming Through Perform a corridor double kidney transplant
Right Tools At The Right Time Right Tools At The Right Time Perform a corridor double kidney transplant in under 2 minutes and 20 seconds
Tunnel Vision Tunnel Vision Perform a corridor double kidney transplant losing less than 600 ml of blood
We're Going Bowling! We're Going Bowling! Perform a corridor brain transplant
The Speed Of A Neuron The Speed Of A Neuron Perform a corridor brain transplant in under 1 minute 30 seconds
The Brains Of The Operation The Brains Of The Operation Perform a corridor brain transplant losing less than 750 ml of blood
Don't Run With Scalpels Don't Run With Scalpels Perform a corridor eye transplant
  • References the phrase "Don't run with scissors."
Blinding Speed Surgery Blinding Speed Surgery Perform a corridor eye transplant in under 2 minutes and 30 seconds
Won't Even Need Glasses! Won't Even Need Glasses! Perform a corridor eye transplant losing less than 1000 ml of blood
Mobile Dentistry Mobile Dentistry Perform a corridor teeth transplant
Keep Fidgeting To A Minimum Keep Fidgeting To A Minimum Perform a corridor teeth transplant in under 2 minutes and 20 seconds
Open Really Wide Open Really Wide Perform a corridor teeth transplant losing less than 500 ml of blood
Keep Your Eyes On The Road Keep Your Eyes On The Road Perform an eye transplant in an ambulance
I Can See For Miles... Per Hour I Can See For Miles... Per Hour Perform an eye transplant in an ambulance in under 1 minute and 20 seconds
  • Miles is a imperial measurement of distance, despite the game taking place in England, a country that uses the metric system.
At Worst, You're Now Colourblind At Worst, You're Now Colourblind Perform an eye transplant in an ambulance losing less than 700 ml of blood
Brace For Surgery Brace For Surgery Perform a teeth transplant in an ambulance
Not The Time Or Place For Precision Not The Time Or Place For Precision Perform a teeth transplant in an ambulance in under 2 minutes and 15 seconds
No Need To Curb Stomp Him No Need To Curb Stomp Him Perform a teeth transplant in an ambulance losing less than 600 ml of blood
My Eyesight Means A Lot To Me My Eyesight Means A Lot To Me Perform an eye transplant in space
Eye Of The Space Storm Eye Of The Space Storm Perform an eye transplant in space in under 2 minutes and 20 seconds
Expert Space Stalker Expert Space Stalker Perform an eye transplant in space losing less than 700 ml of blood
Orbital Dentist Orbital Dentist Perform a teeth transplant in space
The Tooth Is Out There The Tooth Is Out There Perform a teeth transplant in space in under 2 minutes
  • The achievement title is a reference to the X-Files' "The truth is out there" which appears at the end of the title sequence. It is also the series main tagline.
Maintained Healthy Gums At Least Maintained Healthy Gums At Least Perform a teeth transplant in space losing less than 500 ml of blood
What A Load Of Bull What A Load Of Bull Listen to the surgeon rap
  • Simply take the radio and smash it against the table or any other object until it starts playing rap music.
I Am A Genius! I Am A Genius! Create a Hammerhead shark
  • Simply pop out both eyes at the same time and make them dangle around.
Grin And Bear It Grin And Bear It Remove all teeth during the teeth transplant surgery
  • Best accomplished with the drill or laser.
The Goggles Do Nothing The Goggles Do Nothing Completely smash up the goggles
Lumberjack Lumberjack Cut out the eyes using the surgical axe
Heterochromia Heterochromia Give the patient heterochromia
  • Give the patient different colored eyes. (One "regular" eye and one "object" will also unlock this achievement)
You Can't Handle The Tooth! You Can't Handle The Tooth! Complete the tooth transplant only removing the rotten teeth
  • Restart the surgery until the teeth spawn in a favourable pattern.
  • 4 rotten teeth are shown in the icon, despite only 3 rotten teeth spawning ingame.
First Success First Success Complete an alien organ transplant
You're Free Now You're Free Now Set the Gobbleshaft free
  • Improperly cut out the Gobbleshaft to achieve this.

Inside Donald Trump DLC[]

Picture Name Description Additional information
Moooooo Heart of a Cow.
  • hmm, I wonder what that's a reference to, dumbass.
Trumsplant Tower + Steak + Vodka in main cavity.
Little Wet Willy Wet Willy with little pinky.
  • A Wet Willy is wetting a finger with saliva and inserting it into a target's ear as a prank.
Pink Eye Vodka to the eye.
  • Pink eye is a type of eye infection that inflames the eyelid tissues, giving the whites of the eyes a "pink" colour.
Now I Can Reach Pick the nose (either nostril) with little fingers.
Is It Real? Pull his hair for 3 seconds or more.
  • Reference to the theory that Trump's hair is a toupee.
A New Heart Complete with either Gold or Stone heart.
  • Possible reference to the phrase "change of heart", which is to have a new opinion or outlook on something.
A++ Is Trumperific Get A++ rating with either Gold or Stone heart.
A Small Loan From My Father Complete a successful operation that costs more than $1,000,000.00.
  • Reference to the infamous quote "My father gave me a small loan of a million dollars."
  • This is the rarest achievement in the game, having a 0.8% completion rate.
  • This is also a very controversial achievement due to being tedious and almost luck-based. Bossa Studios said that they were not going to nerf it, which is a decision people disliked.

Media[]

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