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If it is about Big and Small , the mod need Biotech DLC genetically processed, so it may be difficult to change it through surgery. If only change the hediff result, it may cause problems with save data.
No problem, Thanks for reporting it. This information should be useful to other mod users.
RBSE and RBSE - forked are different mods, so if you are using RBSE - forked, this mod is not supported.
"Alpha Implants" is a mod that uses "Vanilla Expanded Framework". Therefore, it overwrites the vanilla medical system. For that reason, it seems that you cannot receive treatment that uses the vanilla system.
The problem you are experiencing is caused by an overwrite by VEF, so it may not be able to fix it.
This "DE Surgeries RBSE only" does not change the surgeries that RBSE has. It mainly allows you to treat only diseases that RBSE does not support. The fact that surgery on biotech prosthetic limbs and biotech internal organs on the RBSE side (with vanilla) is impossible is not a problem with "DE Surgeries". Please understand. Thank you.