Trauma Center: Under the Knife: FAQ/Walkthrough

| Trauma Center: Under the Knife(DS)          |
| FAQ/Walkthrough                             |
| By strawhat                                 |
| Version 1.1                                 |
| Last Update: 11/21/06                       |
| E-mail: plasmad00d13smooth{at}gmail[dot]com |

The latest version of this FAQ will always be at or

                            Table of Contents 

                         {1.0} Introduction
                         {2.0} Basics
                         {3.0} Walkthrough
                             [3.1] Chapter 1
                             [3.2] Chapter 2
                             [3.3] Chapter 3
                             [3.4] Chapter 4
                             [3.5] Chapter 5
                             [3.6] Chapter 6
                         {4.0} The X Missions
                         {5.0} Mini-Rankings
                         {6.0} FAQ
                         {7.0} Conclusion

Note: For easy searching, highlight a section name and number(without the
spaces at the beginning), press Ctrl + F and paste the section name in the
menu. Press find and voila! For Mac users, use the command key in place of the
control key.

Version History:
1.1: Learnt how to empty the water on mission 19. Hmph.
1.0: Completed the FAQ.

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            /                                                        ||_____||
============                 {1.0} Introduction                      ||_____||
            \                                                        ||     ||

In my opinion, Trauma Center is one of the best games for the Nintendo DS as
of current. There are very few other games that uses the touch screen in such
an impressive fasion with a creative story to boot. It certainly is a gem and
a great addition to anybody's DS collection. It's becoming harder and harder
to find this game, so if you find a copy I recommend that you pick it up as
soon as possible. It's really an excellent game.

This FAQ is dedicated to all who own this game. The main purpose of this FAQ
is to help those who need it, whoever that may be. I am by far an expert of
this game, but I will try to do whatever I can to satisfy your need for help.
If you need further assistance with this game, feel free to E-mail me, which
is located at the very bottom of this FAQ.

There will be spoilers in this FAQ, but I'll try to keep it to a minimum.

            /                                                        ||_____||
============                    {2.0} Basics                         ||_____||
            \                                                        ||     ||

Everything in this game can be controlled with the touch screen. You will be
required to use the touch screen in all operations.

| Button      | Effect                           |
| A           | Confirm, next paragraph of text. |
| B           | Cancel in menu.                  |
| Start       | Pause.                           |
| Select      | Skip scene. Press again to stop. |

All other buttons are not used in this game.

| Playing the Game |

This game is set between cutscenes and operations. You don't have to do
anything in a cutscene except scroll through texts. Each cutscene and
operation is one "episode" in the game. You can save between each episode,
even if it's just a cutscene. There are six chapters in the game separated by
different numbers of episodes.

You don't have to do anything during a cutscene. The real work begins when
you start an operation. Before an operation, you will recieve a briefing
scene where a character will tell your mission and goals in the operation.
On most levels, you'll be told what to do, especially when you meet new
obstacles. If you need more help, you can read this guide.

On the main menu, there are three modes to select. New Game begins a new
game, Continue allows you to continue your saved file, and Challenge allows
you to re-play operations that you beat during the game and saves your grade
and high score.

| Game Screen |

Besides the tools which are described below, there are several things that
you need to look out for.

First is the vitals, located in the upper left of the touch screen. Once this
drops to zero, it's game over and you fail the operation. It slowly drops as
you play. If you make any mistakes, such as doodling with the scalpel, the
vitals will greatly drop. Some missions will have vitals dropping more than
others(such as X1, etc.). When there are more cuts on the patient, vitals
drop faster.

There are several ways to increase vitals. You can draw circles around all the
cuts with the antibiotic gel to stop bleeding, or inject the green stuff with
the syringe. Be sure to suture up any cuts that may further accelerate the
speed of vitals dropping.

Next is the call button. Sometimes, your assistant or another character will
talk to you. The timer will stop and a call button will appear on the upper
right of the touch screen. Tap it or press A to continue with the operation.

The timer represents how much time you have left to complete the operation.
It's located on the top screen towards the bottom. Usually you'll have five
minutes to complete an operation, but on several missions you'll have ten or
three. Either way, complete the operation before the time runs out.

Miss Limit
As you know, if you do something wrong such as slashing the patient with a
scalpel, you'll see a miss. There's only a certain number of times that you
can miss. The amount is located right above the timer on the top screen. If
you go past the miss limit, you lose the operation.

Operation Score
This is just your score. It's located above the miss limit. If you get a cool
rating for anything you do, you'll get a bigger bonus added to your score.
Score really doesn't matter in the game unless you're going for an S Rank.
After completing the mission, you'll get some more points added to your score.
You get a bonus for completing the operation quickly and also not missing.

| Tools |

Starting from the upper left hand corner, going down, then back to the upper
right hand corner.

1. Laser: The laser burns off polyps, viruses, and many other things. Be sure
          not to hold it too long or it will open up a small bruise on your

2. Antibiotic Gel: This stuff instantly cures small cuts and slightly raises

3. Drain: The drain absorbs liquids that get in the way, such as blood. Place
          it on a liquid and drag upwards until it shows OK!

4. Forceps: The forceps grab things. You can remove stuff like tumors and
            place them on the tray, as well as apply certain things.

5. Hand: The hand is used to give heart messages. Later in the game, if you
         tap the hand twice, you'll be able to do the Healing Touch. Just
         draw a large star for more time.

6. Magnifier/Ultrasound: This is the magnifying glass at the upper right.
          One replaces the other when necessary. Ultrasound is like a radar.
          Tap a body part to see if there are any tumors etc underneath the
          skin. You'll usually do stuff after that, explained later. The
          Magnifyer zooms in on a spot if you draw a circle on the screen, or
          a tight C. This tool is also known as a scanner. Note that each use
          of the ultrasound takes away from your operation score.

7. Scalpel: Cuts stuff. Probably the tool you'll be using the most because you
            need it to make incisions.

8. Stitches: Use this to suture cuts. Just draw an even zigzag line that
             covers every part of the cut.

9. Syringe: Usually, there will by only one vial when you tap this on the
            bottom right of the screen. This green fluid recovers vitals and
            is very useful. On several operations however, different fluids
            will also be added. They will be explained when necessary. To use
            it, tap the fluid and drag up, then place onto an orgran and just
            hold the stylus in place.

10. Bandages: After closing up a cut, apply a bandage to make the patient
              feel happy.

| Common Applications |

There are many things that you will be doing often in the game. Here's a
quick reference to them.

1. Opening a cut
You start every operation by opening up the patient. Apply gel onto the
dotted yellow line, then apply a straight cut.

2. Stitching up a patient
At the end of every operations, you close up a patient by using stitches
across the opening. Next, apply gel on the wound until it says OK and apply
a bandage across the wound.

3. Healing wounds
Whether you overused the scapel by accident, held the laser just a bit too
long, or viruses cut open your patient, there will almost always be some kind
of cut that you need to remedy. Use stitches across large cuts and antibiotic
gel on the smaller cuts. One or the other will heal the cuts, and if it 
doesn't work then you are doing something wrong.

4. Removing a tumor
First, use ultrasound to locate the tumor. If you hit it, you'll see a black
shadow. Quickly switch to the scalpel and make a cut across it. Drain the
cytoplasm with the drain, then cut around it with a scalpel. Remove it with
the forceps. Next, place a membrane across the hole. Use gel on it, then rub
it into place with the hand icon. This takes a lot less time that it seems.
Note that using ultrasound takes away from your score. If you're absolutely
sure where the tumor is, give it a cut. Very important for those going for an
S Rank.

            /                                                        ||_____||
============                  {3.0} Walkthrough                      ||_____||
            \                                                        ||     ||

When you select New Game, the first episode begins. This walkthrough will
cover the operations in the game. Note that I'm not a perfectionist. My goal
is to get you through the game so that you can beat it, not to S Rank every
operation. Most folks aren't perfectionists and just want to beat the game.

                               [3.1] Chapter 1

Note that the first few operations are really easy. Like the game, I'll walk
you through them slowly but I expect that you'll know all the different parts
of things like removing a tumor and opening up a patient. The first few
missions aren't very challenging. They're mostly doing basic procedures such
as removing tumors.

OPERATION 1 - Standard Procedure
This is a really easy procedure. It's just one of those tutorial stages where
the game basically hold your hand throughout the level, and the skill you
learn here will be used throughout the game.

Anyway, start by picking suture icon, then draw a zigzag pattern over the
cuts. Next, pick the forceps. Drag the shards of glass out. Be sure not to
push them into the cut! After removing the glass, pick the antibiotic gel and
just rub it over the small cuts.

After doing this, Mary will tell you to open up the patient. Rub some gel down
the dotted yellow line, then pick the scapel. Cut down the dotted line. After
successfully doing this, you'll see three more shards of glass. Whip out the
forceps again and drag them out the same way as before. Also like before,
pick the gel afterwards and rub them on the small cut to make it go away.

Suture up the wound, place gel on the cut, then bandage over it. Operation

OPERATION 2 - Standard Procedure 2
Another stage where our hands are held throughout the level. First, open up
the patient. Don't forget to put the gel before doing the incision. Use the
scalpel to open up the patient. Once there, Mary will inform you that the
vitals are dropping. Pick the syringe icon on the lower right and select the
green fluid. Hold your stylus down on the orgran to refill the vitals.

After this, select ultrasound at the upper right and tap the lower area or
the stomach, slightly left of the center line. You'll find a tumor. Select
the scalpel and make a slash across it. Drain the cytoplasm by selecting the
drain on the left, placing it on the tumor, and dragging the stylus up. Next,
pick up the scalpel again and draw a circle around the tumor following the
yellow lines. Next, remove the tumor by using the forceps. Drop it onto the
tray that appears on the lower right. Next, select the forceps again and pick
up the membrane on the lower left. Drag it onto where the tumor was. Rub the
gel over it, then use the hand to rub it into place.

After this, the operation is over. Remember how to close up the patient?
Suture the wound, use gel on the wound to stop the bleeding, then apply the
bandage down the length of the incision. Operation complete.

OPERATION 3 - A Farewell
First, open up the patient. You should know how by now as you've done it the
previous two operations. Inside the patient, you'll see inflamed areas which
look like white dots. Choose the syringe to the right and pick the blue vial.
Inject it into the inflamed area, then choose the ultrasound. We're looking
for three tumors which are all close to each other. The rest of this is
basically turmor removal. Open the tumors, remove the cytoplasm, cut out the
tumors, place a membrance over it, gel, hands, done. It's what you did on
the previous level three times.

After removing the tumors, close up the wound. Gel, bandage, finish. Easy.

OPERATION 4 - Singing the Blues
Open up the patient and you'll see a hemorrhage on the lower part of the
screen. Use the magnifyer and zoom in by drawing a circle over it. Next,
drain the blood. This will expose a bunch of polyps that look like dots. Use
the laser to get rid of them. This will leave a few holes behind which can
be remedied with the gel. If you take too long, blood will fill up. Just
drain it again so you can get to the holes with the gel.

Zoom out and you'll see another hemorrage. Do the same thing several more
times and the operation will be over. Another easy mission.

OPERATION 5 - A Real Doctor
Open up the patient. You'll see several inflamations. Like in Operation 3,
pick the syringe and use the stuff from the blue vial. Inject it into the
inflamed areas. After that, there will be four tumors we need to find. Use
ultrasound and extract them, also like in Operation 3. After that, Angie will
want to make sure that there's nothing there, so just use ultrasound and tap
the patient a few times. When she's done, finish up. Gel, bandage, and finish.

OPERATION 6 - Life or Death
OK, first, we don't have to open the patient yet. You haven't done a heart
massage before, but it's pretty easy. Apply gel onto the bar in the middle
until it turns green. Next, pick the hand icon and follow the dark bar that
goes up and down. Keep in rhythm with it and the pulse will be recovered.
We'll be doing this several time in this operation and also in the future.
Vitals will be at thirty. You can't get any higher than that in this
operation, so don't bother with the green syringe unless you're at dangerously
low vitals.

The patient has a bunch of glass on his skin. Pull them out with the forceps
and place them on the tray. Next, quickly rub the gel around all the small
cuts to heal them in one go. There will be three cuts left, in which you can
quickly suture.

After this, we'll have to open up the patient. Do so and we'll be at his
heart. There's a shitload of glass here. Grab your forceps and get to work.
Pull out three at a time or so, then heal the wounds with the gel. If you pull
out too many, vitals will drop too quickly and it'll be difficult.

We'll need to perform another heart massage after pulling out all the glass
from the patient's heart. Do the same as before: use gel on the bar, then
follow the dark spot with the hand. Vitals will recover. Next you'll have to
pull out another piece of glass. This glass is huge though; be sure you pulled
out the entire thing before moving it to the tray.

Just one more step before finishing the operation. A giant cut will appear on
the heart. The game will go into slow motion. ;) If you can't see the cut,
use the gel first to stop the bleeding. Suture it straight up. Close the
wound and end the operation.

                               [3.2] Chapter 2

Chapter 1 wasn't challenging at all. Chapter 2 isn't so hard either, but don't
expect the game to hold your hand anymore. Expect more operations like number
6. The only exception is Operation 9.

OPERATION 7 - Dormant Ability
Open up the patient. Zoom in on the upper right corner of the organ. We must
remove the thrombi, the little moving circles in the patient's veins. There
are several steps to this. First, use the ultrasound to clearly see the
thrombus. Next, use the forceps to stop its movement. After that, make a small
slash across it with the scalpel, then drain the blood and use the gel to
heal the wound. Oh, and I must add that you can only heal one thrumbus at a
time. Any thrumbus that passes through the spleen(area where all the thrombi
meet to the right) will reduce your vitals a bit. Nothing to worry about

Do this several times until Angie says the rate has quickened. The game will
go into slow motion again. Keep doing the same thing as before. It should be
even easier now that it's slower. When you cut out all the thrombi, bandage
the patient and finish the mission.

OPERATION 8 - Striving for Asclepius
The EASIEST mission in the game, if you can even call it that. All you have
to do is tap the hand icon twice and you'll see a star icon, the Healing
Touch icon. Tap it, then draw a star in the shape of the outline. Keep
drawing stars and finish the level. You can't fail this. For an easy S rank,
draw stars as big as possible. Also, drawing these big stars gets you more
time when doing Healing Touch, which is now available after this mission.

OPERATION 9 - Awakening
OK, first let me say that this is a REALLY hard mission. You're not the only
one with problems beating this stage. It IS however, easily beatable and
easier than some other missions in the game. (coughX1cough)

Open up the patient and you'll see a lump. That is the aneurism. Zoom in on
it with the magnifyer. We're going to be using the magnifyer very often in
this level. Inject the brown sedative into the aneurism. Next, follow the
yellow lines and cut it out with the scalpel. Remove it with the forceps,
then drain the blood that comes out. After that, use the forceps again and
connect the two strands. Suture it drawing a line over where the two pieces
were connected. No need for any zigzags here.

Be sure to do this quickly. If you don't inject the sedative, the aneurism
will slowly grow and it'll take more than one "needleful" of sedative to be
able to cut the aneurism. If the aneurism grows too big, the aneurism will
explode and take nice, healthy chunk out of your vitals.

After finishing the first aneurism, zoom out and there will be another one
towards the bottom of the screen. Zoom in there and finish that one. After
that, there will be two more. Two more come after that, then there will be
FIVE aneurisms for you to handle. Before suturing the aneurism before the
five appear, use the syringe to restore vitals to as high as possible.

This is the part where most people have trouble. See, zoom in so that you can
see as many aneurisms as possible. Pick one aneurism and inject the sedative.
Cut it, but DO NOT remove it. Leave it there so it won't explode, then work
on the other aneurisms. Do the same thing; inject the sedative and cut them
but don't remove them.

After all the aneurisms have been cut and are no longer in danger of
exploding, remove them one by one, drain the blood, connect, suture. If you
are having trouble, use the Healing Touch.

OPERATION 10 - Just Let Me Die
At the beginning, Angie says that vitals are dropping fast. This is actually
not true, so don't panic about it. We do, however, only have three minutes to
complete this procedure. Open up the patient to see a ton of cuts. The normal
ones can be sutured up normally, but the large ones will take a few more
steps to heal. You'll see these large cuts in the future, so pay attention to
how to heal these.

First, drain the blood. Next, close the large cut with the forceps by pulling
one side to the other. Now it's ready to be sutured. Do this will all the
large cuts and suture the normal ones...well, normally. Finish the mission.
Pretty easy, but it's only introducing you to how to close the large cuts.

OPERATION 11 - Let Me Live
Open up the patient, then do the same as before suturing both large and small
cuts. Next, you'll see a cut reform. Quickly switch over to ultrasound and
look around where the end of the cut formed. You'll see a small shadow. Use
the scalpel and cut it out just like a tumor. It'll leave a cut as it
surfaces. Ignore the cut for now and just go after the creature. Use the laser
and tap the creature to hurt it. Just a tap will do. After it stops moving
around like crazy, tap it again to kill it.

These creatures are called Kyriaki and you'll see them throughout the game.
This is how you deal with them. After killing the first Kyriaki, two more
will appear. Continue to ignore the cuts and just use the ultrasound to find
the Kyriaki shadows. Cut them both out and use the laser again. Once they're
destroyed, start to suture the cuts. BEFORE suturing the last cut, restore
vitals to as high as possible.

After suturing the last cut, three large incisions will appear. Use the
ultrasound to pick up the adult Kyriaki. Cut, then use the laser. It'll
disappear back under the organ. Use the ultrasound again and cut it open. Use
the laser and once more, it'll go under the organ. Ignore the cuts that it
makes when it reappears and focus on killing the Kyriaki first. After the
adult Kyriaki's dead, suture up the cuts and finish the mission.

OPERATION 12 - For Everyone's Sake
Start the operation by making two incisions. On the second cut, you'll need
to perform a heart massage. Use the gel on the bar, then use the hand icon
and stay with the dark bar moving up and down. This will be happening at
several, random times in the game. After her vitals have recovered, you will
go deeper inside the heart. Also, note that if you have perform a heart
massage again, you'll have to re-zoom into the area.

Magnify the area, thendrain the blood. Make a cut along the left side of the
atrium, then the right side, then around the entire thing. Remove the thing
you just cut with the forceps. Select the forceps again and there will be an
artificial valve on the tray to the left. Place it onto the area you just cut.
Suture the area by drawing a line across the artificial valve, then the
operation will be complete. Suture the two openings, apply a bandage, and

                               [3.3] Chapter 3

Chapter 3 features many different operations which require you to do different
things. The difficulty also gets a real kick from the previous two chapters
and you'll be dealing with GUILT much more often. You'll meet brand new
strains and revisit Kyriaki.

Remember Kyriaki? The GUILT bodies that make big cuts? We'll face them again
here. First, suture the small cuts, then the large ones. Before suturing the
last cut, restore vitals to the max with the syringe. Two Kyriaki will appear.
Use ultrasound to find their shadows, then the scalpel to cut them and make
them come out. Use the laser two destroy them. They'll be gone in two hits.

After the first two Kyriaki are dead, three more will appear. Do the same as
before. Just be a bit more careful about your vitals. The three opening cuts
will probably do some damage, so use the green syringe if necessary. After
those three are dead, then suture the cuts. Like before, restore vitals close
to max before suturing the last cut because the adult Kyriaki will be coming
out soon after.

You've dealt with this before. It's the same thing. Use the ultrasound to find
the adult Kyriaki. Use the scalpel to extract it, then the last to kill it.
It'll go back under. Rinse and repeat. Restore vitals if necessary, then
finish the operation.

OPERATION 14 - Something Precious
This operation features a brand new GUILT, Deftera. After cutting open the
patient, use the laser to burn off the spots. Deftera should soon appear.
Use the syringe to restore vitals while you wait for it. To kill Deftera,
we have to wait for the two colors to combine into a blob. From there, use
the drain. Repeat this several times. It'll take a bit of luck since you have
to wait for the two cells to combine. While you're waiting, you can use the
laser to destroy the other spots that appear from Deftera or restore vitals.

After draining the Deftera enough times, it'll go crazy. Quickly cut it so
it doesn't take a big chunk from your vitals and remove it like a tumor. Place
the membrane on the hole, use the gel, then hands to mold it into place.
Destroy all the other colored tumors, then suture the cut.

We're not done yet. This patient also has Deftera in another body part. Make
another incision. You'll see that this time, there are two sets of Deftera.
It'll be a little tougher this time because if two of the same color bodies
meet, they'll create a bunch of colored tumors and eat some of your vitals.
There's really nothing you can do about this, though. Just use the laser to
destroy all the tumors while waiting for the Deftera to create a colored blob
and raise vitals. You have to be a bit lucky since you have to wait for the
Deftera to come together. There's nothing you can do in your power to make
them come together.

Once both Deftera are drained and defeated, close up the patient. Operation

OPERATION 15 - An Explosive Patient
I hate this "operation". It can be misleading at times. There are several
things you need to know about this. First, there are four sections that you
can magnify. You can ignore the lower right after the beginning and the upper
right. You get ten minutes for this mission, which incidentally is the amount
of time on the bomb as well. You're not going to use even half of it. Also,
there is no operation score for this mission. You only get bonus points at
the end of the mission. So if you want an S, do everything right and don't

Anyway, start the mission. First, zoom in on the water tanks to the right.
You have to drain the water from the right tank(keep the water in the tube)
and release it on the left. Do so. To be honest, I don't know how to empty
the water on the left tank. Try tapping the screen so the drain appears, then
tap the water inside the drain and drag it down. I think that's how you're
supposed to do it. Anyway, it's not like it matters since we won't be coming
back to this section.

Zoom in on the section to the lower left. There are yellow knobs sticking out
of the top of the dynamite. Use the forceps and slowly drag them up and out
of every dynamite. Once all of them are extracted, the bomb is no longer in
danger of exploding, so you don't have to worry about transferring the water.
However, you do have to worry about the little bars on the dynamite. They
slowly rise over time. You can use either the gel or the green syringe to
lower them. If the any of the bars reach the top, KA-BOOM! Game Over. If you
take too long on the next section(doubt it), come back here and make sure that
the bars aren't near the top.

Zoom in on the upper left after removing the yellow sticks. I have no idea
what they're talking about here. You'll see nine microchips above the wires.
Use the laser to destroy numbers 3, 4, 5, 7, and 8 listed below.

  1  2  3  4
 5  6  7  8  9

After this, the game will zoom in on the timer. You must cut the red wires in
ten seconds. Be sure not to cut the white ones, or all your hard work will be
wasted. Just a tap with the scalpel will cut them. After this, the mission
will be complete.

OPERATION 16 - Miracle at 9,800ft
Since we're in an airplane during the operation, there will be turbulence.
While there's turbulence, DON'T touch the touch screen or you'll get a miss.

After starting the mission, create an incision and switch to the ultrasound.
Look for a small shadow, much like a tumor. Cut it, then drain the water.
If turbulence occurs before the water is drained, inflamed areas will appear.
Use the blue syringe to cure the inflamed areas.

Continue to drain water from the patient. This is basically the entire
operation, draining water without missing because of turbulence. If you miss,
a random cut may appear as well as several inflamed areas which you should
take care of immediately. You must predict when the turbulence will affect
you enough that you should stop and not get a miss.

OPERATION 17 - Forbidden Knowledge
This operations introduces a new strain of GUILT, known as Triti. It's also
my least favorite strain of GUILT. Triti contains of a bunch of triangles
and thorns. Once they are all extracted, you complete the operation. To
extract a piece of Triti, you must remove the needles by pulling them up with
the forceps and dropping them on a tray. Next, use the scalpel to cut the
triangular piece out and drop that on the tray too.

However, it's not that simple and easy. First, the thorns will reappear after
a certain amount of time. Second, the triangles will regenerate. If there are
two thorns adjacent to each other and a space, then a triangle will reppear
on that spot after you remove a piece. This can be a problem. It's a little
hard to explain, so here's a picture:

         1 / \ 4
      2 / \   /
      |/___\ / 3

Since there are two adjacent needles to the upper left, spots 1 and 2 will
reproduce a triangle. Since there are no two adjacent needles on the right
side, spots 3 and 4 will not reproduce a triangle. Understand? And one more
thing, if a triangle is at the very edge of the orgran, it will not reproduce
past it even if it has two adjacent needles. This is a very valuable strategy
that you should use.

Now, to getting rid of these things. The hard way is by removing the needles
in such a fashion that there are no two adjacent needles. This is really hard
to do, especially if you screw up once and like 12 triangles regenerate. If
you do it this way, you must remove more than a few needles at a time and
scribble along the yellow dotted lines quickly.

The second way to beat this missoin is much easier. It's called Healing Touch.
Use it(be sure to get the max time by drawing a big star), then remove every
needle, scribble across the dotted yellow lines, then remove them one by one
until Triti is gone. Without needles, it will not regenerate. :) This will
not get you an S Rank, but it will definitely get you an easy ticket out of
this mission. And honestly, that's what I did since I hate Triti so much.

One last thing of note. It's pretty rare for this to happen, but sometimes
one of the needles can turn into a poisonous mist when you pull it out. If
this happens, just drain it, then continue on what you were doing before. If
you let it spread, I THINK you'll fail the operation.

                               [3.4] Chapter 4

Chapter 4 basically deals with only one strain of GUILT: Pempti. This chapter
deals with research, has several puzzles, and trains you to defeat Pempti.
Not all that hard of a chapter, though.

OPERATION 18 - Race for the Cure
We will now face a new breed of GUILT, Tetarti. After opening up the patient,
choose the red syringe and inject it into Tatarti. After that, it will hide.
Use the ultrasound to find its shadow, then give it a cut with the scalpel
like a Kyriaki or tumor. Your scalpel will leave a cut that gel should easily
cure. Inject more syrum into it. Repeat this several times until it stops
moving. From there, use the forceps to grab it and place it on the tray. Cut
it in half with the scalpel, then use the drain to drain its fluids. After
this, heal any wounds still on the patient and close him up.

OPERATION 19 - Stepping Up
OK, now we have to deal with the real thing. First, there will be three tumors
of different colors. They slowly expand. Use the right serum with the syringe
on each one. Match the colors. Use the purple serum on the purple tumor on
the left, yellow on the one in the middle, and green on the one in the right.
After using the syringe, cut them out with the scalpel. Treat it like a normal
turmor. Place the membrane on it, gel, hands, and done. Do this with all of
the tumors before they get too big and explode. If they explode, you'll lose
a lot of vitals and have to clean up after the tumors.

After this, there will be a brief moment where the Tetarti will appear. In
this short break, quickly raise your vitals back to a high point. When the
three creatures appear, use the syringe and the appropriate color serum on
each creature. At the very beginning, you'll see each Tetarti as a different
color. At this time, remember two of them and go to your syringe filling it up
with one color. When the colors of Tetarti fade, remember which color was
which and begin filling them with serum. If the color of the serum matches
the color of the Tetarti, it will react. If it's wrong, then all three will
disappear and leave ugly tumors for you to fix.

Each time you hit all three Tetarti, they'll lose a bit of health. They get
faster and faster after every "round." Once you hit them about four or five
times, they'll all die. Close up the patient and finish the operation.

One more note. If you don't remember all the colors of the Tetarti, wait for
them to disappear and reappear again. The last thing you want to do is hit
the wrong one. The tumors it leaves are much harder to take care of than just
waiting for Tetarti to reappear. Always take care of the tumors first if you
do miss one.

OPERATION 20 - Taking a First Step
Another new strain of GUILT! It's Pempti. We're only running some tests here,
though. This mission is mostly easy. Just listen to everything you're told
to do. First, open up the patient. Next, scribble the organ with your stylus.
After that, you'll be told to use the laser. Pick it, then scribble around
with it. Then, use the gel. Scribble around with it. OK, we're done with the
scribbling now.

Now you'll be told to use stuff from the blue vial. Select the syringe, then
the blue vial. See the moving colored spot in the orgran? We have to inject
it in there. It's moving though, so you're going to have to be careful. I
hated this part. Be sure you fill up the vial to the max, or there will be no
effect. After the blue vial, you'll be told to use the pink one, then the
orange. After that, we'll need to use the white neutralizer. Make sure you
inject each of these serums into the moving hazy spot, or you'll be rewarded
a miss for your carelessness. After the orange serum, the organ will start to
shake and your vitals will drop a bit quicker than usual, but it's nothing
to worry about.

After this, restore vitals back up to 80 with the syringe. Inject it into the
upper left corner of the organ, NOT on the GUILT body. Now, we need to inject
more stuff into the hazy part. Alternate between the blue and the orange,
then the pink and the neutralizer. That'll be all. One last thing before
closing up the patient: use the scalpel to cut a small sample of Pempti.
Follow the yellow dotted lines and drop it on the tray. Finish the operation.

OPERATION 21 - Medical Research
This is not an operation. It's a puzzle. To solve it, place the pieces onto
the grid above so that it matches the top screen. Here's the solution:

 R R O
  R O
 G B O
  R B
 G   B
  G B

Sorry, that's the best that I can do in text. You should easily get an S Rank
here since I just gave you the answer. :3

Here's a map I made, if you need extra help. Please copy and paste the link:

OPERATION 22 - The Next Step
Okay, open up the patient. Victor will provide you with an orange serum that
you should inject into the blue hazy spot with the syringe. Each time you
successfully do this, Pempti will shrink. Once it's down to its smallest size,
you'll see some polyps. Laser them off, then use the gel to heal the wounds
that it creates. Be absolutely sure you do this, or vitals will drop very
quickly. Next, the core will appear. Use the laser to burn it off. After a
while Pempti will restore itself. Quickly use the green syringe to restore
vitals if you have time, then resume progress.

Inject the orange serum into the blue hazy spot again. We're basically
repeating the same thing again. Once Pempti has shrunk down to its smallest
size possible and the core reappears, use the laser to burn it off again.
This time, we're going to quickly use the scalpel to cut a sample following
the dotted yellow lines. Place the sample on the tray and close up the
patient. Oh, and don't worry about the polyps that are still there. Those
won't matter.

OPERATION 23 - New Laser Technology
It's another puzzle level. Oh joy. There's two in this "operation", but lucky
for you the answers are right here below. And again, I'm sorry that it's so
hard to represent this in text.

Puzzle 1:

 R R B
 W R   
   P P
 G G O

Puzzle 2:

 Y Y B
 G Y B
 P   O
 P R R

Here's a map I made, if you need extra help. Please copy and paste the link:

OPERATION 24 - Doctors' Struggle
OK, we're finally going to get rid of Pempti. Open up the patient, then
inject the brown serum like before. After two injections, the core will
appear. Switch to the laser and start burning that baby. Once you've
destroyed it, restore vitals while listening to Angie and Victor talk. The
core should soon reappear, along with some offensive reinforcements.

Pempti's offense rotates around three attacks which are random. In the first
attack, one cell will come out at a time from the core. Quickly burn off the
cells or they will create a long slash on your patient. There will usually be
about five cells that come out. ALWAYS make sure that you burn off the cells
first, even if you missed one and it made a cut. If you go to suture a cut,
then the other cells will wreck havoc on your patient and then you'll have to
deal with vitals too. You can always suture cuts later. In my opinion, this
is Pempti's strongest attack since the cuts will give you something extra to
do AND take a large chunk of your vitals.

Another offensive attack is when about five cells appear near the edge of
Pempti. The large Pempti cell will raise up, then crash down leaving many
polyps. Unlike in the previous Pempti operation, we must take care of the
polyps. The wave of cells will continue until you destroy all the cells. Like
in the previous attack, destroy the cells first with the laser so you won't
have to deal with any more polyps than the first stage. Next, quickly laser
off all the polyps and rub gel over them. Then head back over to the main
core and burn it off or wait for the next attack.

The last attack that Pempti has is really easy to kill. It'll just rotate
small cores around the cell. The vitals will drop a bit quicker, and that's
it. Just choose the laser and hold the stylus on one area. Each time the cell
passes through that area, it'll get damaged. After a second or two, they'll
be all gone.

During the time where Pempti switches its attack, attack the core or restore
vitals. The core will become solid after some time. Burn it do inflict damage.
The core will then become more transparent, meaning you can't use the laser
on it anymore. Just wait a bit and the core will become solid again. Continue
to burn off the core between attacks to defeat Pempti.

After Pempti is defeated, laser off any polyps, suture any cuts, then close
up the patient and apply a bandage to finish the operation. Whew!

                               [3.5] Chapter 5

In this chapter, we're going to revisit all of the strains of GUILT that were
faced so far, as well as introduce the rest of the GUILT crew. The last two
new stains will be introduced here. Learn to deal with them. We're almost at
the end of the game.

OPERATION 25 - Under the Knife
We have to operate five patient in 10 minutes here. Let me just say, you'll
most likely be using all ten of those minutes. You MUST be on the fourth
patient in order to pass this operation. If the timer hits 0 while on the
fourth patient, you'll finish him up then the operation will end. However, if
you're skilled enough, you CAN make it to the fifth patient.

OK, onto patient number one. This patient has a Kyriaki strain. It's pretty
much the same as the other Kyriaki patients you've faced so far. Open up the
patient and you'll find big and small cuts. Suture the small ones first, then
do two of the big ones. Restore vitals, then suture the last one. Before the
first Kyriaki appears, switch to the ultrasound. Quickly use it to locate it
during its opening cut to save time. Next, laser it once, then rub a bit of
gel onto the cuts to stop the bleeding and save vitals. As soon as you can
hit Kyriaki again, switch back to the laser and hit. Repeat until it's dead.

From there, two more Kyriaki will appear. Treat this the same as the last one.
As the first one is dying, switch to the ultrasound and locate the two new
Kyriaki as they make their first two cuts. Then, once you can see them, so the
same as last time. Use a bit of gel to keep vitals up, then laser the Kyriaki.
Repeat until dead.

At this point, suture all the cuts. One the last one, restore vitals, then
suture up the cut so the adult Kyriaki will appear. As it makes its opening
cuts, suture one of them, then switch to ultrasound and look for the Kyriaki.
Once you find it, cut it out, then laser it. Sew up its uprooting cut, then
look for it again. Rinse and repeat. You've already dealt with this before.

After the last Kyriaki is dead, suture up the patient. Don't worry about
vitals. You'll always start with 99 on the next one. As long as it's over 0,
you're fine.

OK, the next few patients are all the same, except with different numbers of
Kyriaki. Treat all of these patients teh same way. The only thing different
about these patients compared to the others is that on the last wave of
Kyriaki, the adult one, it will sometimes be accompanied by a baby Kyriaki.
When this happens, always get rid of the baby one first. Cut them both out,
then aim the laser at the baby. Gel, laser, and repeat. If your vitals get
low while handling the last wave, use gel to stop the bleeding, quickly inject
some green serum and suture up a cut. The amount of time between when the
adult Kyriaki makes cuts actually is pretty long, so you may have more time
than you think to heal yourself.

OPERATION 26 - Shifting Guilt
ARGH, Triti again. If you don't remember the pattern, then read Operation 17,
Chapter 3. This time, Triti isn't conveniently placed into a corner. I used
the Healing Touch and took out all the pins, scribbled, and removed the pieces
all before time ran out. This is the easy way out.

As for the hard way, you can corner it in the lower right. Remove the needles
from the left side and work your way down to the lower right, letting Triti
regenerate there. After it hits a certain spot, it will no longer be able to
regenerate in that direction no matter how many needles are there. It WILL
be able to generate in the other direction however, so be sure not to leave
any needles on the left side.

There will be a higher chance of needles evaporating into mist on this level.
Be sure to drain the mist first before doing anything. If the mist goes off
the screen, you won't fail, but you'll move onto another patient with a
different pattern of Triti. This will happen up to four times, then you'll
fail the operation if another mist of Triti leaves the patient. Be sure to
drain the mist or you'll lose a lot of hard work and points!

In this operation, we'll be dealing with Tetarti. It's the same as before,
only this time the creatures move a bit faster, so you'll have to also. After
opening up the patient, you'll see three poisonous sacs with three different
colors. Inject the proper serum with the syringe into each one, then cut them
out and place membranes on them. Use the gel, then circle around with the
hands. Restore some vitals and Tetarti will appear.

There's more of the same. You'll see each creature's colors, then they start
moving. Inject the proper color serum into them in order to make them lose
health. If you inject the wrong color into one, it'll leave poisonous sacs for
you to fix. Always take care of the sacs first. Tetarti won't actually damage
you, but the sacs will if they get too big and explode.

After a while, Tetarti will be moving while its colors are showing. This isn't
that big of a deal. I'm sure that most of you have a good enough eyesight for
this. If not, there's nothing you can do about it because that's what you're
relying to finish this operation. There's also less time for you to inject
the serum into Tetarti. If you're too slow, it's nothing that Healing Touch
won't solve.

OPERATION 28 - Infection
Paraskevi is introduced in this level. These monsters are the same on most
levels, so listen up. Paraskevi is one long worm. In order to defeat it,
first, you must stop it by using the laser on its tail, the blue part. After
that, it will freeze. From here, take the scalpel and give it a nice slice
down the middle. Paraskevi will then split into two parts, as well as cut up
your patient a bit, similar to Kyriaki. Repeat this until Paraskevi is small
enough to be picked up with the forceps(after being frozen of course) and
dropped onto the tray.

There are several precautions about this operation. First, don't let your
patient look like she just went through the blender. While the paraskevi are
frozen, very quickly suture a few cuts so you won't lag the game. Also, focus
on a few of them at a time. Don't continue to slice apart all the parts at
the same time. That will leave you with a monster amount of cuts to suture
as well as rapidly dropping vitals. Focus on one half of Paraskevi at a time.
This is the most important thing about handling Paraskevi.

The last thing of note is that if you don't get rid of Paraskevi quick enough,
it will move from one part of the body to another. If they escape and you
have to move on to the next part of the body, you must first suture all the
cuts the little buggers make. The Paraskevi chase will end at the heart. If
you get to the heart, quickly use Healing Touch and try to cut the Paraskevi
and take them out fast. If they get into the heart, it's Game Over.

OPERATION 29 - Devil
On this level, we're going to learn how to deal with baby Savato, the last
strain of GUILT that you will face. This isn't the mature Savato yet, so don't
be all joyous when you find this operation really easy.

When you open up your patient, you'll find several cuts. Suture up all of
them, then we'll be in a waiting period. At this point, restore vitals back
up to a nice, healthy point. After waiting for about ten seconds or so, a cut
will open and you'll see a bunch of bugs come out. This is baby Savato. To
get rid of them, pick the laser and just burn those suckers. As you burn
those, more cuts will appear with baby Savato coming out. Take care of the
Savato first. A few cuts on our patient won't hurt us.

At times, you'll notice several small Savato start circling around. Shortly
after, it will turn into a Blue Savato. The blue beetles will halve your
current vitals and reduce your maximum vitals from 99 to 75. If there are two,
the max will drop to 50, and finally 35. Be sure to destroy the blue beetles
so you can keep your vitals high and your patient living. In this mission,
they'll be your first priority.

There isn't an unlimited number of baby Savato in this operation. Destroy all
the ones that appear. When they stop appearing, suture the cuts, then close
up the patient. Finish the operation.

OPERATION 30 - Death Awaits All
This operation haves you deal with the adult, mature Savato. And yes, it is
much, MUCH harder than the previous operation. You have ten minutes to beat
this stage. There are many strategies that people use to beat Savato, but
I'll tell you what I did to beat this mission. Oh, and DO NOT use Healing
Touch at any time during this mission until you have to. Otherwise, you won't
be able to finish the operation.

When you open up the patient, you'll see a large creature(Savato) sitting in
a mass of web. Pick the scalpel, then hold it down on a strand of web. The
web will diminish, but so will your scalpel. Don't worry, just wait a little
while and you'll be able to use it again. At this time, just restore your
vitals a bit. When your scalpel comes back, burn off another piece of web.
Soon after though, Savato will create a few new strands of web with baby
Savato coming out. Nothing we can do about this. When Savato does this,
instead of just restoring vitals after losing your scalpel, take some time
to get rid of a few baby Savatos, namely the blue one. Vitals should still
take a priority, however. Continue this pattern to keep your vitals up. You
have plenty of time to kill Savato, so don't rush it. If the web turns red at
any time, quickly take priorety in burning off a strand. A red web takes away
TONS and TONS of vitals, which is something that we don't want to deal with.

After successfully burning out through one web, Savato will create another
one. Don't be discouraged. Continue burning out the web two more times while
doing the same thing as before. After this, the next stage of Savato will

If there are any leftover baby Savato, the mature Savato will absorb all of
them and make his "shield" stronger. Take your laser and keep it on Savato.
Savato will run. Don't let your stylus off of it. The less baby Savato it
absorbed after the web, the less time it takes for you to burn off its shield.
After Savato's shield is burned off, you must cut it with your scalpel. Don't
worry, this time your Scalpel won't temporarily disappear ;).

Cutting Savato will deal damage to it. After this, its shield will return and
you'll have to do the same thing again, burning off Savato's shield. This
time, Savato will make a few more cuts into your patient where those little
baby Savato appear from. Ignore the cuts. Just keep burning the shield. Don't
even kill the baby Savato. The only reason you should stop is if your laser
runs out or if your vitals are low, in which you should use the gel/syringe in
both cases to bring back the vitals.

After cutting it again for the second time, you'll have a new serum given to
you. Burn off Savato's shield just one more time, following all of the
instructions given above. After the shield is burned off, give it a cut and
it'll stop moving. Quickly inject the black serum into Savato. If you're too
slow, Savato will regain its shield and you'll have to burn it off again.
After the serum is injected, Savato will create several cuts and the baby
Savato will disappear. A Healing Touch will automatically start. However, if
you try to inject more serum into Savato, it will still be able to get away.
If you look at the lower left, the hand will be replaced with the Healing
Touch. Since I told you not to use it in this mission until you have to, you
should still have it. This is the time.

Use Healing Touch and time will stop. Inject the serum into Savato and watch
it die. The cuts and all damage that was on the patient will disappear. Close
up the patient and finish up.

The most important thing about Savato is to know what to fix and what to
ignore. The baby Savato aren't necessary to kill, but it can make your life
easier IF you have the time to kill them. Vitals are top priorety, next being
actually damaging Savato. The cuts don't need to be sutured. Keep all of
these things in mind while you tackle the last strain of GUILT.

                               [3.6] Chapter 6

In this chapter, we'll revisit every strain of GUILT again, yes, including
Savato, except that they will be much harder. Basically, if you have trouble
with these operation, practice on the operations in the chapter before and
get S Ranks on them. These aren't painfully hard, but it's still not a

OPERATION 31 - First Sin
Ah, Kyriaki again. Like al the strains of GUILT in this chapter, they will be
much harder to kill and is the second hardest Kyriaki stage. Open up the
patient and you'll see the standard big and small cuts. Take care of the small
cuts first. If you do the large ones first, the baby Kyriaki will arrive
sooner. Anyway, On the last large cut, drain the blood and restore vitals.
Suture it up and two baby Kyriaki will appear.

You've dealt with Kyriaki many times, but this will be the most difficult so
far. After suturing the last cut, be very sure to switch to the ultrasound
while the Kyriaki are appearing. Locate them as soon as the finish their
opening cut and slice them out. It's much harder to find the Kyriaki after
their opening cut and these babies move much faster than all the other ones
you've faced so far. They also cut up your patient quicker and vitals drop

Alternate between burning the Kyriaki with the laser and using the gel on the
cuts so your vitals won't drop too much. After a few hits, the Kyriaki will
die and two more will immediately appear. Use the same tactic as before.
As the first two Kyriaki are dying, switch to ultrasound and look for shadows
of the two that just appeared, making their appearance noticable with their
opening cuts. Gel, cut, gel until dead.

If you're having trouble during this part of the operation, use gel on the
cuts the Kyriaki make so your vitals stay high. After the baby Kyriaki are all
dead, start suturing up the cuts. On the last one, raise your vitals to the

OK, now the mature Kyriaki appears along with a baby one. While the cuts are
appearing, use the gel to keep vitals stable, then quickly switch to the
ultrasound and uproot both of them. Like before, alternate between lasering
the Kyriaki and using the gel on the cuts. ALWAYS kill the baby Kyriaki first.
If your game starts to lag because of the number of cuts on the screen, use
gel then suture up a big one instead of looking for the adult Kyriaki.

After this, use the gel on the wounds so you won't die, then suture up all the
cuts. Apply the bandage on the patient and move on to the next operation.

OPERATION 32 - Second Sin
We will face Deftera again in this mission. Deftera is really luck based, so
there's not really much I can do to help you. Like in the previous Deftera
mission, this operation has two parts to it. The first part has one Deftera
and the second part has two.

There's not much difference between this and Operation 14, except that vitals
drop a bit faster. You still have to rely on luck for the two colors to meet
and mix together. Once they do, drain them to take some life. Once Deftera
is fully drained, it will warp. Cut it out when the yellow lines appear and
use the forceps to drop it on the tray.

There are a few things that you should be doing while you wait for the Deftera
to mix together. Get rid of the tumors that it leaves behind with the laser.
Also, keep vitals high with the syringe.

After excising all the Deftera, close up the patient and prepare for the next

OPERATION 33 - Third Sin
Triti is still beast for those who don't like puzzle, ie me. You can still
take the easy way out of this by using Healing Touch with 2000+ time and
pulling out all the needles and scribble along the yellow lines. It'll give
you enough time to remove all the pieces of Triti without much effort.

If you want to do this the hard way though, then try to work your way to the
lower left corner. There will be a lot more needles that turn into mist on
this level. The mist will turn into other triangles of Triti, so it's best
that you drain them. Remove all the needles from the right side and work your
way down. You would also want to try to make on solid block of Triti without
too many edges.

OPERATION 34 - Fourth Sin
Tetarti's next. This operation relies heavily on your eyesight. Just like
before, the mission will start with three colored tumors. Inject the right
color into each one of them and cut them one by one before the serum wears
off. Then, remove each one of them and place the membranes. Use gel, then
hands to mold them into place. Beware though, the tumors will grow bigger much
faster than the previous missions. If it explodes, use the gel wipe off the
mess. You'll still have to inject the serum to get rid of it.

At this time, Tetarti will soon appear. Quickly raise your vitals before it
does, then get a syringe full of a colored serum ready. This time, Tetarti
will be moving when it shows its colors at the very start. Keep your eye on
the right color and inject the correct serum into each one of them.

After every round, this Tetarti will get faster and you'll have less time to
inject serum into them. They get deadly fast near the end. Try to inject serum
to the ones closest to the bottom of the screen where the bottles of serum
are. This way, there will be less between moving your stylus from the bottles
to the Tetarti. If you're really slow, a Healing Touch should be enough for
you to catch up to them.

Whatever you do, DON'T MISS. Missing will force you to deal with those tumors
that they leave behind which can take a chunk out of vitals as well as consume
time. Tetarti can't leave a dent on your vitals, but those things they leave
definitely can.

OPERATION 35 - Fifth Sin
In this mission, Pempti becomes much faster, so your vitals will be taking
more of a hit. Open up the patient and you'll see the same blob. Pick the
syringe and inject the serum into the blue hazy spot. Keep injecting it until
the core becomes visible. Now, we start the hard part.

Pempti will have the same three typs of attacks, but the cycles are quicker.
During the first attack where mini-cores slash the patient, you'll have to be
ultra fast in order to burn them out before the cut. If you don't manage to
stop it in time, a second core will appear before the first one finishes the
cut. Go straight to that one to prevent further damage. Suture the cuts if
you find you have some free time.

The second and third attacks will remain the same as the previous mission. Do
the same strategy(plus Healing Touch if needed) and you will be able to beat
Pempti. Between each stage of attack, burn the core or restore vitals.

OPERATION 36 - Sixth Sin
This is a Paraskevi mission that is really similar to the previous one.
Everything is the same except that vitals drop a bit faster, so just use the
same strategy to beat this one. Freeze Paraskevi's tail, then cut it in half.
Each piece then makes a cut. Work on one half at a time. Pretty much the
same as the previous Paraskevi mission. Nothing new.

OPERATION 37 - Final Sin
OK, it's time for Savato again. It's a bit harder than last time, but still
mostly the same. Open up the patient to see Savato sitting all nice and comfy
in its web. Take our your scalpel and start burning some web. Like before,
your scalpel will disappear after successfully burning one piece of web. Also
like before, Savato will create new strands of web once in a while with little
Savato coming out.

Use the same strategy. Burn a web, recover vitals/destroy baby Savato. This
time, be a bit quicker and more cautios about the web. The web turns red much
more often than before. This should be a first priority. Red webs will hurt
you much more than anything else. Bugs take a last priority on this mission.

After cutting the web twice like before, you'll go into the second phase. The
second phase is a little different from before. You still have to use the
laser to burn through Savato's shield, but the time between its attacks are
much, much shorter. Savato has two attacks. It'll create one cut with a bunch
of baby Savato or do a triple cut. The triple cut is by far more dangerous.
Either way, leave the cuts since they'll disappear after injecting the serum
anyway, same with the bugs.

In this stage, leave the babies. They won't really deal that much damage to
us. Just be sure to keep your vitals high, especially after a triple cut by
Savato. After Savato's shield breaks, cut it with the scalpel. You'll have
to repeat this process four times before Savato makes nine cuts and auto-
Healing Touch activates, in which you should do another Healing Touch so you
can inject the serum and kill Savato.

That's it! Congratulations, you beat Trauma Center's story mode. Watch the

            /                                                        ||_____||
============                 {4.0} The X Missions                    ||_____||
            \                                                        ||     ||

After beating story mode, you'll unlock X1 in Challenge Mode. X Missions are
really, really hard and are real challenges. To unlock more X missions, you
must beat them in order. Ex: Beat X1 to unlock X2, beat X2 to unlock X3, etc.
These missions are very difficult and will most likely require many tries
before you actually beat it.

OPERATION 38 - X1: Kyriaki
X1 is probably the second hardest operation in the game. See, the thing about
this mission is that you must always be doing something. Something will always
need your attention. The next thing you should know is, like the Savato
operations, you need to know what has a higher priority than others. Vitals
drop very fast in this game, and the cuts that Kyriaki make don't help.

Okay, so open up your patient when the operations starts. You'll see three
large cuts and a bunch of smaller ones. Drain three large cuts, close them,
then suture them and the smaller cuts. This will leave us one large cut left
to deal with. At this time, double tap the hand icon so it switches to Healing
Touch, but don't use it yet. Restore vitals to max, then suture the last cut
and use Healing Touch. Make sure to have the maximum amount of time, a little
above 2000.

As the first three baby Kyriaki make their opening cut, use the ultrasound to
locate all three of them and cut them out right as they finish their cut.
From there, quickly switch to gel and draw a quick circle around the cuts that
were just made. Right after that, switch to the laser and hit all three
Kyriaki at a time. While the Kyriaki are recovering, switch back to gel and
make a quick circle. Repeat this until the Kyriaki are dead. Healing Touch
should still have plenty of time. If your vitals are low, start using the
gel, then syringe. Vitals are priortity. 

When the three Kyriaki are dying, switch to ultrasound and locate the two new
ones with their opening cuts. Cut them out, then do the same as before. Gel,
laser, gel, laser until dead. At this point, your vitals are probably pretty
low with all the cuts Kyriaki made. Use gel to slow them down, then quickly
suture them and restore vitals. Use the gel, then syringe to get the most
vitals restored. Suture all the cuts once your vitals are stable. Restore
your vitals to max before suturing the last cut. Healing Touch will run out
right as you first start suturing.

With no Healing Touch, tackling this last part is going to be a bit harder.
OK, when the adult Kyriaki makes its three opening cuts, quickly dab some gel
on it. While the gel is there, use the ultrasound to pick up the mother and
baby Kyriaki. Cut them out, then use some more gel and suture a cut or two.
Then, laser the baby Kyriaki. Gel, then laser again like before until the
baby is dead. Now we only have to deal with one.

The mature Kyriaki can be taken down the same way as before, except we have to
take in the account that an extra cut will be made each time we uncover it.
If you have more than about 10 cuts, your game will lag and it will REALLY
mess with your ability to beat the level. So, after you uncover the adult
Kyriaki and use some gel, take some time once in a while to quickly suture a
cut or two, then lasering the Kyriaki. Or, suture after lasering the Kyriaki
in the period where it goes under the skin.

After the adult dies, start suturing the cuts. First, restore your vitals
using the gel, then syringe method. If your patient has many cuts, you'll
probably only be able to suture a few at a time. That's fine, as long as you
have the time to do so. The worst is over. As long as you can keep your vitals
up, you're safe. Finish the operation.

OPERATION 39 - X2: Deftera
X2 is much easier than X1, but like other Deftera missions, it's still very
luck based. When you open up your patient, you'll see a bunch of tumors. Use
the laser to quickly take them out, then restore vitals right before Deftera
appears. Like before, this is a two part mission.

Deftera moves much faster than in the missions before and also spawns more
tumors. Open up the patient and you'll find two Deftera cells. This part is
easy. Just use the laser on any tumors that appear. As soon as the Deftera
mix together, use the drain. After draining them a few times, it'll start to
warp. While it's warping, you can't do anything, so just get rid of any
leftover tumors and restore vitals. As soon as you can cut it, do it really
quickly because it will spawn many tumors during that stage that take away
a lot of vitals. After that, place them membrane and gel + hands into place.
Don't worry about vitals, unless they're dangerously low. Get rid of any
tumors, then close up the patient.

As you begin your second cut, you'll notice that your vitals will be restored.
Make your cut and you'll see two Deftera cells. This part will be harder.
If you can, try to steer one Deftera cell to another with gel, or just to
seperate two of the same color cells. The cells will move away from where the
gel is, so use this to your advantage. If two of the same color cells crash
into each other, many tumors will form. Use gel to prevent that, but if it
happens, quickly use the laser to get rid of the tumors.

Continue to drain the cells like before. Be sure not to kill two at the same
time. Cutting out two Deftera instead of one will leave more time for them to
create tumors and sap at your vitals. Take them out one at a time and increase
vitals when necessary. Zap all the tumors when you're done with the Deftera,
then close up the patient and move on to the next operation.

OPERATION 40 - X3: Triti
OK, for those of you who took the easy way out with Healing Touch, it's not
going to work here. There are way too many needles to pull out even if you
could have two Healing Touches. Oh, and the purple piece will burn vitals
much quicker than in previous levels. What you want to do is corner the Triti
on the lower right so it can't reproduce anymore. Start by pulling the needles
on the upper left. More triangles will reform, but that's all right. The more
of a block they are, the easier.

Pull out all the thorn on the left side(drain the evaportaed ones), then
scribble on the yellow lines. Pluck out the triangles, then move on to the
next row. That's all it takes to beat Triti! Just one note. Be absolutely
sure to take out the purple triangles. They will sap at your health quickly.

OPERATION 41 - X4: Tetarti
Tetarti is also pretty similar to the Fourth Sin mission. When the three
colored tumors appear, inject the right serum into each one of them as usual.
Don't remove them one at a time. Just inject the serum and cut them, then
move on to the next so the rapidly-growing tumors won't get too big and
explode. The tumors grow faster and do more damage, but you should be able to
prevent all of that. Restore vitals after destroying the three tumors.

Now, onto Tetarti. See, Tetarti still can't actually do any damage to you
unless you inject the wrong serum into it. So do your very best not to do
that. If you're unsure which is which, just wait until the next round to do
so. You'll still see the colors at the beginning. Inject the right color
serum into each one. If they start moving too fast for you, Healing Touch will
easily fix that problem. This is a really easy, if not the easiest, X mission
so far. You should be able to beat this with few problems.

OPERATION 42 - X5: Pempti
X5 is a difficult, although not as hard as X1. Like many other X missions,
the main difference here is that vitals drop much quicker and everything gets
a speed boost. You'll need to work quickly to beat this mission. I probably
don't even have to tell you that. >_>

Open up your patient. Inject the serum into the hazy object in the middle. Be
sure not to miss. Once Pempti shrinks and the core is about to show, restore
vitals to the max. Once the core appears, the real battle begins.

Pempti still has its three different attacks. The slashing cells, the wave
that generates polyps, and the rotating cores. The rotating cores will take
out your vitals much quicker, so it's very important to get rid of those now
than before. The wave that creates polyps is easy to deal with. Just ignore
it and use the time to burn the core. Once you see the polyps, rub gel on
them and the next wave should kill it. For the slashing ones, you'll probably
be too slow to catch up to them. Get rid of whatever you can, but if you're
slow, just use Healing Touch or suture the cuts that they make right when they
appear, then restore vitals.

Focus on the core as much as possible. If you can afford to ignore Pempti's
attacks, do so. The more we burn the core, the shorter this mission will be
and the less we'll have to deal with the attacks.

OPERATION 43 - X6: Paraskevi
Paraskevi is the same as Sixth Sin, except with the obvious quicker vital
draining. Open up your patient, then suture the cuts. As Paraskevi's
appearing, restore your vitals to the max and laser the tail. Give it a slice
down the middle, then as the cuts are appearing, suture them and laser the
tails of both Paraskevi pieces. Cut ONE of them, then do the same as before
suturing the cuts as they appear. Work on one half at a time, like before.
Be sure to suture up the cuts and laser the tails of all the pieces to keep
them still at all times. We don't want them escaping.

There's not much more I can say about this. It's really extremely similar to
Sixth Sin and isn't that hard to beat, unless you suck at Sixth Sin too.
Just practice on that if you have trouble with X6.

OPERATION 44 - X7: Savato
OK, X7 is hard. The hardest mission in the game in my opinion. Remember, we
can't use Healing Touch in this mission until the end. Open up the patient
and you'll see the web that Savato lies on. Use the scalpel and draw a circle
around the webs until one of them breaks. This way, you'll weaken all the
strands at once so when the web turns red, you can destroy a strand right
away. After your scalpel breaks, spend a bit of time restoring vitals and
zapping a few bugs. But as soon as your scalpel comes back, break another
strand of web. Bugs are last priority. You can just leave them if you want,
they won't affect you that much later on. Always keep your health above 15.
Around 20-30 is nice.

After torching the webs, you'll have to follow it around with the laser.
Savato has its two attacks, the triple cut and the one where it spawns babies.
Hope that you don't get the triple cut. Whatever happens, suture the cuts so
your vitals don't drop dangerously fast. Don't forget that with blue bugs
around, you won't be able to recover vitals as much. Continue keeping the
laser on Savato until its shield breaks. Tap it with the scalpel to damage it.
Do this several more times until Savato stops. Inject the serum.

This time, Healing Touch will take a bit longer to activate than before. While
Savato makes its nine cuts, quickly start suturing. Once Healing Touch
activates, you're safe. Inject the serum to kill Savato. If you want some
extra points, suture every cut and restore vitals to 99.

            /                                                        ||_____||
============                 {5.0} Mini-Rankings                     ||_____||
            \                                                        ||     ||

As you may have noticed, some actions in the game get you mini-rankings. These
mini-rankings are Bad, Good, and Cool. They add points to your operation
score. Here's how to get Cool on most mini-rankings.

Be quick, and don't suture more than what's necessary. Don't leave a trace on
areas that are not the cut. Having an even zigzag pattern helps too.

After using the gel on the membranes that cover tumors, use the hands and
draw a quick circle motion around the edge. Be sure to hit the corners.

Use the forceps to pull things such as glass or needles. Getting a Cool
ranking here means that you pulled the item straight out and fast, without
much side-to-side movement. Also be sure to place it on the tray, although the
speed getting there does not matter.

At the start of almost every operation, you must open up the patient. Be
absolutely sure you placed gel on the cut first, then draw a fast line down
the dotted yellow lines. The gel should still be active and it'll be slightly

At the end of almost every operation, we must place a bandage on the patient.
Be sure that gel is there and you see some slight green when you place the
bandage. Make sure you cover the length of the cut and leave no traces of

            /                                                        ||_____||
============                       {6.0} FAQ                         ||_____||
            \                                                        ||     ||

Q: Is there any nudity in this game?
A: No. Only polygonal outlines and colors.

Q: Is there any blood in this game?
A: Nothing that looks disgusting. It just looks like red water, so nothing to
   be afraid of.

Q: How do I get an S Ranking?
A: First, you mustn't miss. Second, the majority of your "mini-rankings" must
   be cool. Third, some operations require you to have a certain time limit
   to get an S Rank.

Q: After I get many cuts on my patient, my game starts to lag! Is this normal?
A: Yeah. It really sucks especially for more difficult operations like X1.
   You just have to adapt to this by making sure you suture at least a few
   cuts so you can still play at a high level.

Q: I hear gel can recover you vitals.
A: Yes, the gel recovers your vitals just a little bit. Just rub it around in
   a circle. It also stops bleeding from cuts such as those made by Kyriaki,
   so it slows down the rate of vitals dropping. It won't recover vitals as
   fast a the syringe, though. The best way to recover vitals in a tight
   situation is to use gel, then quickly switch to the syringe.

Q: Who's this Japanese guy?
   Possible the best Trauma Center player worldwide. If you ever have trouble
   with a mission, look at this guy for inspiration.

Q: Why do some people call Triti Tetarti?
A: In Japanese, the GUILT with triangles is known as Tetarti, although in the
   US it's known as Triti. Japanese Triti is known as Tetarti in the US.
   So in other words, their names got switched around.

            /                                                        ||_____||
============                   {7.0} Conclusion                      ||_____||
            \                                                        ||     ||

I hope that the game script FAQ has helped you, entertained you, or filled
your needs in some way. If you need to contact me, feel free to E-mail me at:


Be sure to include the game's name somewhere in your E-mail.

If you have any further tips on X1-X7, I'd be glad to hear it.

~Special thanks to CJayC for the disclaimer

Copyright 2006 {c} MG(Strawhat)                                    END OF FILE