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
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!"
Perform a heart transplant losing less than 1500ml of blood.
Nine Nine Nine!
Perform a heart transplant in an ambulance.
"999" is an international number for emergency services.
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
Perform a heart transplant in an ambulance losing less than 2000ml of blood.
You've Got To Be Kid'n'ey!
Perform a double kidney transplant.
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".
Perform a double kidney transplant losing less than 500ml of blood.
When You Have No Choice But To Operate
Perform a double kidney transplant in an ambulance.
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
Perform a double kidney transplant in an ambulance losing less than 600ml of blood.
I Think I've Got This
Perform a brain transplant.
How Long Can You Live Without A Brain?
Perform a brain transplant in under 1 minute.
Perform a brain transplant losing less than 600ml of blood.
What Could Possibly Go Wrong?
Perform a brain transplant in an ambulance.
Perform a brain transplant in an ambulance in under 1 minute 15 seconds.
Nigel You Bloody Hero
Perform a brain transplant in an ambulance losing less than 1200ml of blood.
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
Show the patient your disdain.
To trigger this achievement, simply hold A,W, R, and Space in front of the patient
Express your appreciation of the metal.
Make a promise with the ribcage.
Complete a procedure after being electrocuted. (Must be electrocuted within 10 secs)
Complete a procedure after being drugged. (Must be drugged within 10 secs)
I Immediately Regret This Decision
Electrocute and drug yourself at the same time.
And They Said It Was Impossible!
Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs)
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??
Lose the patient within 15 seconds.
Lose 50,000ml of blood using the hammer.
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.
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
Complete all procedures.
I Should Never Have Doubted Myself
Get an A++ rating on a operation.
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
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
Complete a procedure with less than 10ml of blood remaining.
Like An Animal
Throw everything on the floor in the brain transplant surgery.
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
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)
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
Answer the phone.
In the reception, simply wait until the phone starts ringing and answer it
Nigel The Secretary
Write on a notepad.
Go For The Optics!
Perform "laser eye surgery".
10 Megabytes Of Raw Data
Collect all floppy disks.
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.
This article may no longer be releavent due to the removal of the Black Disk.
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 video, Meet the Medic, which is said after the Medic breaks off part of the Heavy's rib.
If not already unlocked, this also unlockes Keyhole Surgery
About As Politically Correct As Fur
Give the patient a... scarf.
In the Double Kidney Transplant, put the large intestine on Bob's neck.
Also possibly a reference to Achievement Hunter's Michael and Gavin, wherein they put the intestine on the patient's neck during the second SS Rage Quit.
"His neck looks cold, let's give him a scarf."
There Is Nothing More To Teach...
Completed every achievement. Now go save lives!
These achievement were added with the "Meet The Medic" Crossover DLC of 21/06/2013:
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 , it can turn out to be the release date of the game: 01904002013 .
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! 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
Complete a brain transplant by throwing it in.
Let's See That Sick Filth Again
Perform a 180° spoon flip.
Hah We Probably Made You Do It Again
Perform a heart transplant in space.
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
Perform a heart transplant in space losing less than 400ml of blood.
Zero G Kidney
Perform a double kidney transplant in space.
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
Perform a double kidney transplant in space losing less than 400ml of blood.
It's Hardly Rocket Science
Perform a brain transplant in space.
Perform a brain transplant in space in under 1 minute.
Precision Instrument Time
Perform a brain transplant in space losing less than 600ml of blood.
Enter The Code
I'm not sure that was worth it...
We're Going On An Adventure!
Take your radio with you.
In the Space Brain Transplant, insert the code into the keypad on the right corner and immediately grab the radio while warping
Screw The Prime Directive
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
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
Complete all 6 secret transplants.
Complete all Alien operations
Eye've No Idea What I'm Doing
Perform an eye transplant
Blink And You'll Miss It
Perform an eye transplant in under 2 minutes
No More Worse Than Shampoo
Perform an eye transplant losing less than 600 ml of blood
Trust Me, I'm Not A Dentist
Perform a teeth transplant
You May Feel A Light Tapping
Perform a teeth transplant in under 2 minutes
Those Are Some Healthy Gums
Perform a teeth transplant losing less than 500 ml of blood
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!
Perform a corridor heart transplant in under 2 minutes and 30 seconds
Don't Even Need A Bucket
Perform a corridor heart transplant losing less than 1000 ml of blood
Delivery Coming Through
Perform a corridor double kidney transplant
Right Tools At The Right Time
Perform a corridor double kidney transplant in under 2 minutes and 20 seconds
Perform a corridor double kidney transplant losing less than 600 ml of blood
We're Going Bowling!
Perform a corridor brain transplant
The Speed Of A Neuron
Perform a corridor brain transplant in under 1 minute 30 seconds
The Brains Of The Operation
Perform a corridor brain transplant losing less than 750 ml of blood
Don't Run With Scalpels
Perform a corridor eye transplant
Blinding Speed Surgery
Perform a corridor eye transplant in under 2 minutes and 30 seconds
Won't Even Need Glasses!
Perform a corridor eye transplant losing less than 1000 ml of blood
Perform a corridor teeth transplant
Keep Fidgeting To A Minimum
Perform a corridor teeth transplant in under 2 minutes and 20 seconds
Open Really Wide
Perform a corridor teeth transplant losing less than 500 ml of blood
Keep Your Eyes On The Road
Perform an eye transplant in an ambulance
I Can See For Miles... Per Hour
Perform an eye transplant in an ambulance in under 1 minute and 20 seconds
At Worst, You're Now Colourblind
Perform an eye transplant in an ambulance losing less than 700 ml of blood
Brace For Surgery
Perform a teeth transplant in an ambulance
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
Perform a teeth transplant in an ambulance losing less than 600 ml of blood
My Eyesight Means A Lot To Me
Perform an eye transplant in space
Eye Of The Space Storm
Perform an eye transplant in space in under 2 minutes and 20 seconds
Expert Space Stalker
Perform an eye transplant in space losing less than 700 ml of blood
Perform a teeth transplant in space
The Tooth Is Out There
Perform a teeth transplant in space in under 2 minutes
Maintained Healthy Gums At Least
Perform a teeth transplant in space losing less than 500 ml of blood
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!
Create a Hammerhead shark
Simply pop out both eyes at the same time and make them dangle around.
Grin And Bear It
Remove all teeth during the teeth transplant surgery
The Goggles Do Nothing
Completely smash up the goggles
Cut out the eyes using the surgical axe
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!
Complete the tooth transplant only removing the rotten teeth
Complete an alien organ transplant
You're Free Now
Set the Gobbleshaft free