Surgeon Simulator

123 achievements

Ultra Rare×78

Very Rare×33

Rare×5

Uncommon×4

Common×3

About Surgeon Simulator's achievements

Surgeon Simulator has 123 Steam achievements, 78 of them ultra-rare — unlocked by under 5% of players. The rarest is "A Small Loan From My Father", earned by just 0.9% of players. Across 6 SteamVault hunters who reached 100%, full completion takes a median of about 35 hours. Below is the complete achievement list with global rarity and a full achievement difficulty breakdown.

Rarest achievement

0.9%

of players earned "A Small Loan From My Father"

SteamVault 100%s

members fully completed it

Median to 100%

35h

typical time to full completion

🗺️ Community guides & walkthroughs

Community Ratings

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Difficulty—

Easy → Brutal

Enjoyment—

Meh → Loved it

Grindiness—

No grind → Huge grind

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All Surgeon Simulator achievements

123 achievements

A Small Loan From My Father

Complete a successful operation that costs more than $1,000,000.00.

Ultra Rare0.9%

A++ is Trumperific

Get A++ rating with either Gold or Stone Heart.

Ultra Rare1.0%

Right Tools At The Right Time

Perform a corridor double kidney transplant in under 2 minutes and 40 seconds.

Ultra Rare1.2%

The Speed Of A Neuron

Perform a corridor brain transplant in under 1 minute 30 seconds.

Ultra Rare1.2%

Blinding Speed Surgery

Perform a corridor eye transplant in under 2 minutes and 30 seconds.

Ultra Rare1.2%

Keep Fidgeting To A Minimum

Perform a corridor teeth transplant in under 2 minutes and 20 seconds.

Ultra Rare1.2%

I Can See For Miles... Per Hour

Perform an eye transplant in an ambulance in under 1 minute and 40 seconds.

Ultra Rare1.2%

At Worst, You're Now Colourblind

Perform an eye transplant in an ambulance losing less than 700ml of blood.

Ultra Rare1.2%

Not The Time Or Place For Precision

Perform a teeth transplant in an ambulance in under 2 minutes and 15 seconds.

Ultra Rare1.2%

Eye Of The Space Storm

Perform an eye transplant in space in under 2 minutes 20 seconds.

Ultra Rare1.2%

Expert Space Stalker

Perform an eye transplant in space losing less than 700ml of blood.

Ultra Rare1.2%

The Tooth Is Out There

Perform a teeth transplant in space in under 2 minutes.

Ultra Rare1.2%

Little Wet Willy

Wet Willy with little pinky.

Ultra Rare1.2%

Blink And You'll Miss It

Perform an eye transplant in under 2 minutes.

Ultra Rare1.3%

You May Feel A Light Tapping

Perform a teeth transplant in under 2 minutes.

Ultra Rare1.3%

I Can't Work Under These Conditions!

Perform a corridor heart transplant in under 2 minutes and 30 seconds.

Ultra Rare1.3%

The Brains Of The Operation

Perform a corridor brain transplant losing less than 750ml of blood.

Ultra Rare1.3%

Maintained Healthy Gums At Least

Perform a teeth transplant in space losing less than 500ml of blood.

Ultra Rare1.3%

Trumsplant

Tower + Steak + Vodka in main cavity.

Ultra Rare1.3%

No Need To Curb Stomp Him

Perform a teeth transplant in an ambulance losing less than 600ml of blood.

Ultra Rare1.4%

There Is Nothing More To Teach...

Completed every achievement. Now go save lives!

Ultra Rare1.5%

Nothing But Skull

Complete a brain transplant by throwing it in.

Ultra Rare1.5%

No Time To Admire The View

Perform a heart transplant in space in under 1 minute 40 seconds.

Ultra Rare1.5%

Stomach O'Clock

Perform a double kidney transplant in space in under 2 minutes.

Ultra Rare1.5%

Tunnel Vision

Perform a corridor double kidney transplant losing less than 600ml of blood

Ultra Rare1.5%

Best Surgeon In The World

Get an A++ rating on all procedures.

Ultra Rare1.6%

Just Enough To Clog The Gravity Engine

Perform a heart transplant in space losing less than 400ml of blood.

Ultra Rare1.6%

The Surgery Of The Future

Perform a double kidney transplant in space losing less than 400ml of blood.

Ultra Rare1.6%

Precision Instrument Time

Perform a brain transplant in space losing less than 600ml of blood.

Ultra Rare1.6%

Pink Eye

Vodka to the eye.

Ultra Rare1.6%

Let's See That Sick Filth Again

Perform a 180° spoon flip.

Ultra Rare1.7%

Best Surgeon In The Universe

Complete all 6 secret transplants.

Ultra Rare1.7%

No More Worse Than Shampoo

Perform an eye transplant losing less than 600ml of blood.

Ultra Rare1.7%

Won't Even Need Glasses!

Perform a corridor eye transplant losing less than 1000ml of blood

Ultra Rare1.7%

Lumberjack

Cut out the eyes using the surgical axe.

Ultra Rare1.7%

Now I Can Reach

Pick the nose (either nostril) with little fingers.

Ultra Rare1.7%

A Surgeon's Merit Is Based On Speed

Perform a double kidney transplant in an ambulance in under 3 minutes.

Ultra Rare1.8%

That's How I Lost My Medical License

Perform an uber heart transplant in under 2 minutes 30 seconds.

Ultra Rare1.8%

Don't Even Need A Bucket

Perform a corridor heart transplant losing less than 1000ml of blood

Ultra Rare1.8%

Open Really Wide

Perform a corridor teeth transplant losing less than 600ml of blood

Ultra Rare1.8%

Don't In-Test My Patience

Perform a double kidney transplant in under 2 minutes 50 seconds.

Ultra Rare1.9%

First Success

Complete an alien organ transplant.

Ultra Rare1.9%

And They Said It Was Impossible!

Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs)

Ultra Rare2.1%

Frikkin' Lasers

Complete a procedure using only the surgical laser.

Ultra Rare2.1%

Surgetricity

Complete a procedure after being electrocuted. (Must be electrocuted within 10 secs)

Ultra Rare2.2%

Butter Fingers

Lose every organ out the back of the ambulance during the heart transplant.

Ultra Rare2.2%

Like An Animal

Throw everything on to the floor in the kidney transplant surgery.

Ultra Rare2.2%

You Can't Handle The Tooth!

Complete the tooth transplant only removing the rotten teeth.

Ultra Rare2.2%

Moooooo

Heart of a Cow.

Ultra Rare2.2%

Life's Too Short

Perform a heart transplant in an ambulance in under 2 minutes 30 seconds.

Ultra Rare2.3%

We're Going On An Adventure!

Take your radio with you.

Ultra Rare2.3%

You're Free Now

Set the Gobbleshaft free.

Ultra Rare2.3%

Nigel You Bloody Hero

Perform a brain transplant in an ambulance losing less than 1200ml of blood.

Ultra Rare2.4%

Those Are Some Healthy Gums

Perform a teeth transplant losing less than 500ml of blood.

Ultra Rare2.4%

Orbital Dentist

Perform a teeth transplant in space.

Ultra Rare2.5%

I Have No Idea What I'm Doing

Smash all canisters within 10 seconds.

Ultra Rare2.6%

My Eyesight Means A Lot To Me

Perform an eye transplant in space.

Ultra Rare2.6%

Performance Enhancer?

Complete a procedure after injecting a drug. (Must be drugged within 10 secs)

Ultra Rare2.7%

I'm Sure He'll Live

Complete a procedure with less than 10ml of blood remaining.

Ultra Rare2.7%

Sweet Blasphemy

Perform a brain transplant losing less than 600ml of blood.

Ultra Rare2.8%

Brainstorm

Perform a brain transplant in an ambulance in under 1 minute 15 seconds.

Ultra Rare2.8%

Kali Mah!

Perform a heart transplant in under 2 minutes.

Ultra Rare3.0%

How Long Can You Live Without A Brain?

Perform a brain transplant in under 1 minute.

Ultra Rare3.0%

At Least He Won't Be Peeing Blood

Perform a double kidney transplant in an ambulance losing less than 600ml of blood.

Ultra Rare3.0%

Archimedes!

Hit Archimedes with a heart.

Ultra Rare3.1%

Grin And Bear It

Remove all teeth during the teeth transplant surgery.

Ultra Rare3.2%

Should I Be Awake For This?

Perform an uber heart transplant losing less than 1000ml of blood.

Ultra Rare3.3%

One With The Speed Bumps

Perform a heart transplant in an ambulance losing less than 2000ml of blood.

Ultra Rare3.5%

Performance Anxiety

Perform a double kidney transplant losing less than 500ml of blood.

Ultra Rare3.5%

Speedrun Time

Perform a brain transplant in space in under 1 minute.

Ultra Rare3.5%

Brace For Surgery

Perform a teeth transplant in an ambulance.

Ultra Rare3.5%

Call Trisha

Now where did you leave her number...

Ultra Rare3.7%

Keep Your Eyes On The Road

Perform an eye transplant in an ambulance.

Ultra Rare3.7%

Don't Be Such A Baby, Ribs Grow Back!

Completely smash up the rib cage.

Ultra Rare4.0%

The Beat Of Your Heart

Replace the heart with something else.

Ultra Rare4.5%

Go For The Optics!

Perform

Ultra Rare4.6%

Mobile Dentistry

Perform a corridor teeth transplant.

Ultra Rare4.8%

Hammer Time

Lose 50,000ml of blood using the hammer.

Ultra Rare5.0%

Don't Run With Scalpels

Perform a corridor eye transplant.

Very Rare5.1%

Is it Real?

Pull his hair for 3 seconds or more.

Very Rare5.1%

Enter The Code

I'm not sure that was worth it...

Very Rare5.3%

???

Hidden achievement — tap Reveal secrets to spoil

Very Rare5.3%

It's In! It's In I Tell You!

...and it was going so well.

Very Rare5.4%

We're Going Bowling!

Perform a corridor brain transplant.

Very Rare5.5%

I Should Never Have Doubted Myself

Get an A++ rating on a procedure.

Very Rare5.9%

It's Hardly Rocket Science

Perform a brain transplant in space.

Very Rare5.9%

Delivery Coming Through

Perform a corridor double kidney transplant.

Very Rare5.9%

Zero G Kidney

Perform a double kidney transplant in space.

Very Rare6.2%

Like A Wet Paper Towel

Throw the new heart away in the surgery.

Very Rare6.3%

I Immediately Regret This Decision

Electrocute and drug yourself at the same time.

Very Rare6.7%

A New Heart

Complete with either Gold or Stone Heart.

Very Rare6.7%

About As Politically Correct As Fur

Give the patient a... scarf.

Very Rare7.2%

Like a hotdog down a hallway.

Perform a corridor heart transplant.

Very Rare7.5%

What A Load Of Bull

Listen to the surgeon rap.

Very Rare7.5%

In Space, No One Can Hear You Bleed

Perform a heart transplant in space.

Very Rare7.6%

The Goggles Do Nothing

Completely smash up the goggles.

Very Rare8.1%

What Have I Done??

Lose the patient within 15 seconds.

Very Rare8.6%

Heterochromia

Give the patient heterochromia.

Very Rare8.8%

The Sound Of Progress My Friend!

Explode a heart.

Very Rare9.0%

Trust Me, I'm Not A Dentist

Perform a teeth transplant.

Very Rare9.1%

Practically Licensed

Complete all procedures.

Very Rare9.3%

Mother Hen

Don't lose any tools out the back of the ambulance.

Very Rare9.9%

Spaaaaaaaaace

Go where no surgeon has gone before.

Very Rare10.9%

Eye've No Idea What I'm Doing

Perform an eye transplant.

Very Rare10.9%

10 Megabytes Of Raw Data

Collect all floppy disks.

Very Rare11.1%

What Could Possibly Go Wrong?

Perform a brain transplant in an ambulance.

Very Rare11.5%

I Am A Genius!

Create a Hammerhead shark.

Very Rare11.6%

When You Have No Choice But To Operate

Perform a double kidney transplant in an ambulance.

Very Rare11.7%

Socialised Medicine!

Perform a heart transplant losing less than 1500ml of blood.

Very Rare12.6%

Keyhole Surgery

Completely remove the rib cage.

Very Rare14.5%

Let's Go Practice Medicine

Perform an uber heart transplant.

Very Rare14.6%

Nine Nine Nine!

Perform a heart transplant in an ambulance.

Rare15.3%

Nigel The Secretary

Go about your secretarial duties.

Rare17.8%

I Think I Got This

Perform a brain transplant.

Rare26.8%

You've Got To Be Kid'n'ey!

Perform a double kidney transplant.

Rare28.2%

Vworrrp Vworrrp

Create a Time Lord.

Rare29.5%

Pinky Swear

Make a promise with the rib cage.

Uncommon35.3%

Shh I Doctor Now

Calm your patient.

Uncommon40.8%

It's Life Jim, But Not As We Know It

Perform a heart transplant.

Uncommon45.8%

Valve Actually Let Us Do This?

Successfully use the VHS tape.

Uncommon49.0%

Surgery Horns

Express your appreciation of the metal.

Common55.2%

Flippin' The Bird

Show the patient your disdain.

Common60.9%

Doctor Doctor, Give Me The News

Answer the phone.

Common78.8%