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Because there is no gravitation, the tools and organs fly around the station during the operation and can't be attached for easier access. This does not have any influence on the players hand or the patient.
It is easy to lose some of the more important tools or organs by pushing them above the player where they cannot be reached. If this happens, waiting is required to retrieve the lost organs.
Be very careful that the green needle may float and poke you. If the green needle pokes you, find the blue syringe. And be careful to not let the blue syringe touch the patient, as it will increase blood flow.
As in Normal Operations the standard operations are available: