Update : 12 Jul, 2025
v1.6.1
- Fixed the French translation for Lung Rot (Biotech).
- Added cure vacuum burns (Odyssey DLC).

If you want to eliminate failures even with high medical skills, you may want to consider installing the following mod.
SurgeryImproved
https://steamhost.cn/steamcommunity_com/sharedfiles/filedetails/?id=3233032071

Hi Billo J Dahka.
If the surgery fails, the same thing happens to the colonist as it does in vanilla. In difficult surgeries, failure can even result in the death of the patient.

@all
New DLC, Please check out this official Ludeon blog post.
https://ludeon.com/blog/2025/06/incoming-transmission-06-11-2025/

What happens when these surgery’s fail? Do the limbs/things fall off like in vanilla?

Update : 10 Jun, 2025
v1.6.0
- Added 1.6 tag preliminarily for new DLC.

Hello Totally not Skynet .
Because EPOE - Forked has the same functionality. So it is not compatible with this mod. But, it is compatible with nomal E.P.O.E.

Excuse me, I just wish to know if this mod is incompatible with "Expanded Prosthetics and Organ Engineering - Forked", as I remember someone saying so. Or is that the mod where compatibility still exists.

Hello Vaarelsauce.
From Scar Removal Plus source I just checked, it seems to be compatible with remove scar and fix brain damage.

However, since there is overlap in the surgical menu required to cure old scars, you may find it easier to choose one or the other.
This mod doesn't have fix brain damage, so not an issue.

Would love to know if it's compatible with Scar Removal Plus in the description.

P.S.
Mod technology allows it to be easily cured.

Hello GreyApache.
Unfortunately, brain injuries are not eligible for cure.
This is the original mod author's concept, and is to maintain the value of the item that exists in vanilla, the brain implant (persona core).

This allows players to experience a story that laments the importance of head armor (helmet) and bad luck. Please understand, thank you.

Can you cure brain injuries?

Update : 20 Feb, 2025
v1.5.5
- Add a new surgery "cure acid burn" (+scars).

Thanks to Eversor for reporting this issue.

Hi asdf officer.
I don't think CE will affect medical. For more information, you may want to ask on the CE workshop page. Thank you.

is this CE patched?

Hello AzureSix.
EPOE-Forked is not supported. Because EPOE-Forked contains its own treatment system (dll) and does not accept interference from other mods.

IS there a way to remove Alpha Animals scars with synthtic tissues / neuro-cure frameworks?

Hello Deklatis.
Yes, you're right, so I've created patch-only mods for the most popular animal mods.

DE Surgeries - Mod Animals patch
https://steamhost.cn/steamcommunity_com/sharedfiles/filedetails/?id=1732715130&tscn=1732564620

Included Mod Patches :

Alpha Animals
Vanilla Animals Expanded
Vanilla Animals Expanded — Royal Animals
Vanilla Animals Expanded — Caves
Vanilla Animals Expanded — Waste Animals
Vanilla Animals Expanded — Endangered
Animal Collab Project Vanilla-Style
Palm Cats

So if I have a bunch of mods that add animals, I'm going to need a lot of patches aren't I?

no problem

@Scorpio
I confirmed it. Big and Small - Xeno Insectoid Hive does not handle the human treatment that is handled by Big and Small - Framework .

This is a problem with the concept of Big and Small - Xeno Insectoid Hive , so this mod will conform to that concept.

I have determined that human medical technology cannot treat the illnesses and injuries of insectoid humans. Please understand.
(Technically, it is possible to do this by simply creating a patch to add the insectoid Xeno to the HumanlikesDefx.xml that treats them as humans in B&S Core. However, this would ignore the intentions of the mod author.)

Hello Scorpio.
I haven't checked that mod. Unlike HAR, it may not be treated as a human. I'll look into it a bit.

surgeries not showing on Big and Small - Xeno Insectoid Hive xenos

Hello Narada. You're welcome! Help your colonists live longer by treating their illnesses and injuries.

one of my favorite mods, thank you

Hello Kevin_M2.
EPOE-Forked is not supported.

The reason is simple, because both companies are doing the same thing. Furthermore, EPOE-Forked uses Mod Expanded, which forcibly overwrites other mods.

Therefore, it is inevitable that the functionality of this mod will be lost. EPOE is supported with "EPOE only", but EPOE-Forked is not supported. Thank you.

I know this has been mentioned but I can't seem to figure it out. Can someone tell me if I am missing something. I have this mod, EPOE-Forked, Reasearh Reinvented, and Research Reinvented: Stepping Stones. From what I have found I need to disable the Gated Surgeries Option in Stepping Stones, which I have done. I am still missing some of the surgery options. I did not start a new game after disabling the Gated Surgeries option, so that may be the problem. I also have Reaseach Pal Continued which I thought was maybe conflicting with Research Reinvented so I removed it but am currently on travel so haven't had a chance to try it out without that yet. Any help is appreciated.

Update : 13 Jun, 2024
v1.5.4
- Added icons to the surgery menu.

Hello Antdog319.
I would be happy if I could help you have fun playing.

I'm using this mod on a RimWorld Together, Dedicated 24/7, Multiplayer Public Server I host. Great addition for the Vanilla+ Lite feel I'm going for, awesome job. Working as intended, Server info. if interested: https://discord.gg/F99QkYhxFK Thank you!

@pikatyu-1000000
ご報告いただいた問題は、このModだけでなく、Modシリーズ全体で不具合を起こしていました。フォルダ構成をDLC別にすることで避けるようにしました。今回の更新で、フォルダー構成を大きく変更したので、不具合を避けるために、Modをリサブスクライブする事を私は推奨します。もし、更新後に不具合が起きた場合、最初にModのリサブスクライブを試してみてください。お手数をおかけします。報告ありがとうございました。

Update : 12 May, 2024
v1.5.3
- Fixed all language translations for 1.5.
- Biotech DLC "lung rot" cure has been moved to a separate DLC folder.
Thanks to @pikatyu-1000000 for reporting this issue.

IMPORTANT :
With this update, mod have made major changes to the folder structure.

I recommend resubscribing to the mod to avoid problems. If you experience problems after updating, please try resubscribing to the mod first. I apologize for the inconvenience.

pikatyu-1000000さんこんにちは。ご報告ありがとうございます。確認してみます。

インフルエンザやペストなど感染症系の手術の際に日本語表示がされていないようです。こちらの環境の問題かもしれませんが、ご確認いただけないでしょうか。

こんちには、daibo81さん。
どういたしまして! コメントありがとうございます。

EN:
Hello, daibo81.
You're welcome! Thank you for your comment.

いつも使わさせていただいてます！感謝！！

Update : 22 Apr, 2024
v1.5.2
- Added surgeries support for Anomaly DLC race "creep joiner".
- Moved mod animal (Vanilla Animals Expanded series or Alpha Animals etc.) compatibility patches to separate DE Surgeries - Mod Animals patch .
Currently only Core animals are supported.

Update : 16 Apr, 2024
v1.5.1

Added new Anomaly DLC surgeries to Rimworld.

1 chronic surgeries (Anomaly):
Bliss Lobotomy.

5 injury surgeries (Anomaly):
Digested, EnergyBolt, Psychic Burn, Psychic Burn (Skin), Psychic Burn (Solid).

Note: For Digested injuries, the usual treatment is given priority, so click directly on the patient and select the surgury from the click menu.

Hello Chyln. I'm glad you like it

cool！

Update : 14 Mar, 2024
v1.5.0
- Update tags for Rimworld 1.5.x.

@Art Student
My information is based on comments in "EPOE - Forked" from nearly a year ago - specifically, a comment by Tarojun (one of the authors for "EPOE - Forked") dated Mar 13, 2023 @ 6:24pm. Maybe they've since removed the option?

Are you sure that you've not only subscribed to this mod, "Expanded Prosthetics and Organ Engineering - Forked" and XML Extensions , but you also have all three of these enabled in your mod list? Also, where is XML Extensions in your mod load order? I would hazard a guess that XML Extensions should probably go above (before) any mod (like EPOE - Forked) that uses it.

Also, it'd be better to talk about this in the comments for EPOE - Forked, rather than here, as one of the authors may be able to offer more help.

actaully nvm, i am just going to swtich to rbse instead lol so i can use this mod

@thundercraft i cant actually find the option at the epoe-fork that state that disabling the healing wound patch stuff, can you help me ?

@Art Student
It's not that these two mods are fundamentally incompatible with each other. Rather, "EPOE - Forked" adds a patch which targets "DE Surgeries" to remove this mod's ability to heal injuries. As explained in the "EPOE - Forked" comments, this was done quote,
"...due to reported overlaps and bloat. Also, DE Surgery only works for base game injuries, so there will be further confusion when modded injury types are added..."

It was also explained that, by using XML Extensions , you'd find a mod (configuration) option for "EPOE - Forked" to disable that patch, effectively making them compatible.

Ahh i see, i was using the forked version too bad, thankyou for answering

Hello Art Student.
(1/2)
Please check the following: Are you enabling " Expanded Prosthetics and Organ Engineering + EPOE 1.4 (Expanded Prosthetics and Organ Engineering) " or " Expanded Prosthetics and Organ Engineering - Forked "?
It can be used without any problems because there is no problem with EPOE.
EPOE-Forked and DE Surgeries has incompatibility, because of the duplicate functions. This MOD function will not be available.

(2/2)
Next, if you are enabling the "Humanoid Alien Races" and the race MOD.
If these mod in your mod list, you need to put DE Surgeries above than HAR and HAR Race Mod. Because the HAR race is converted to "human" after loading Mod by internal processing, if you read DE Surgeries later in the order of the mod list, you will not be able to recognize the HAR race as a human, and a surgical menu (bill) will appear.

Please note these compatibility issues with mods that are not DE Surgeries.

i use epoe mod and i alr checked all the requirement in description but it stil didnt show any of the listed surgery, should this mod be loaded after epoe ?

Hello Kuji Argisia.
Please check the following.
- Are appropriate medicines in stock in a location accessible to doctor pawn?
- Does the doctor-pawn have the necessary medical skills to perform the surgery?
- Are the necessary medicines authorized for the patients you want to operate on?
Thank you.