He carries out various operations, at first on a patient affectionately named 'Bob' by the game developers, and later operates on Bob inside a space station orbiting Earth. The game's protagonist is a surgeon named Nigel Burke, who has a placement at a fictional hospital somewhere in the United Kingdom in 1987. It added the eye and teeth transplants from the iOS version along with some other features, such as operating while running through the hospital corridors. On 14 August 2014, an Anniversary A&E Edition was released on Steam. The third was released on 2 June 2016, named "Inside Donald Trump", in which a heart transplant is performed on then presidential candidate Donald Trump. The second was released on 9 September 2013, named "Code Name Trisha", and features an operation in which surgery is performed on an alien. The first was released on 21 June 2013, and features an operation in which the player performs surgery on Team Fortress 2 's character Heavy, based on the "Meet the Medic" Team Fortress 2 promotional video. Three free downloadable content (DLC) features and one paid DLC were added after release. Multiple extra modes are available after completion of the early operations, such as performing an operation while inside an ambulance where surgical instruments bounce around at random, and operating in space where the zero-g environment causes all of the instruments to free-float. Gameplay consists of the player attempting to perform various surgical procedures, for example a heart transplant. By default, the A, W, E, R, and spacebar keys are used to control individual corresponding digits for grasping items. The left mouse button is used to lower the hand. By holding down the right mouse button and moving the mouse, the player can rotate the hand. Mouse movement is used to control the movement of the player's hand. Surgeon Simulator is played in first-person perspective.
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