@bokunoseinfeld Are you using the correct operation? This mod doesn't change vanilla surgery to no longer require medicine, it adds new surgeries to the operations menu. I know what you mean with surgery working without medicine early on but not anymore after a while, which I find equally strange as you do, but I don't think that has anything to do with this mod. This mod adds new surgeries, namely "cut out X" and "cut off X". I hope your issue is that simple, and that you were just using the wrong operation. If not, then I unfortunately won't be able to help you

This mod works for me in the beginning of a playthrough, but after about 20hrs in all of a sudden my pawns are no longer able to do surgery without medicine. If I start a new game it seems to work again, but old saves refuse to perform operations. Wondering if anyone had similar issues and found a solution?

I failed a normal leg amputation with meds(anesthesia), then tried just cutting it off immediately after, while the meds. were still in effect and the pawn still got the "awake for surgery", think you could add a check for anesthesia before getting that debuff?

would love for this to have options to apply basic prosthetics (denture, peg leg, wooden hand, etc) without medicine! that's something that doesn't really make sense in the base game anyway

Can this state where one has transformed into a ghoul be removed?

I was just waiting for release to test before posting, will be up shortly

just noticed there is 1.6 on op's github

Has anyone tried this with 1.6

It would be cool if this worked for animal surgeries too

This mod is great and makes sense, but if possible I'd like to see some additional heavy penalties added, such as a very heavy colony-wide mood debuff when cutting off a non-diseased body part.
Right now you can cut off any part of a prisoner (even their brain!) without anesthesia as casually as cutting a hair.
I have a solution that involves using self-control for roleplaying, so this suggestion is just a bit greedy

Hey the issue with doctors not operating when no medicine is given is still there. I have to force doctors to cut things off. If there is no herbal medicine in my mbase they will not attempt to do these surgeries on their own, you have to force them.

@Dorely - just wante to let you know that i found time to play again and THANK YOU FOR THE FIX!!!!1111eleven11!!! <3
Works perfect.

@vonMort - Appreciate it! Found the issue quite easily, fix should be up soon. Might have to force a redownload if you don't see it immediately

Hey m8! I opened a github issue for this mod. Hope you can fix the problem. :)

Does it have any interaction with pawns that do not feel pain?

can you add the ability to cut off the ears and noses too? thankss! :)

so does this let me remove limbs without adding prosthetic? I need some non resistant blood nuggets for my Hemogen farm.

Alrighty 1.5 update is pushed. Please let me know if you are still seeing any compatibility issues.

I've done some testing and in 1.5 this mod (or possibly the harmony framework itself) completely breaks medical operations. Doctors will perform operations, gain medical xp, and materials will be consumed, but the operation bill will not disappear, and nothing will happen to the pawn being operated on.

Hey everyone, I'm looking at the mod again in prep for 1.5. I'll be going through the comments to see if there are any easy to implement requests or fixes. Please post them here and I'll see what I can get to while I update the mod

I love the irony of the message below me

I can't use it because it says "lacking 'no medicine' "

doesn't work, still asks for medicine

Perfect!! This is exactly what I was looking for.

@Conspicuous Coyote
why don't you modifiy the Defs so you can achive that?

Considering the trauma of having a limb cut off while awake, I think the negative moodlet should last a very, very long time, like 20 or 30 days, roughly half a Rimworld year before they totally get over the experience.
Alternatively no moodlet debuff and instead add a pain hediff that lasts a very long time and fades with time (like a year or more), to reflect the pawn getting over the trauma, and no special moodlets needed if the negative mood hit is from pain (or positive for those masochists)
This would help force amputation with out medicine as a last resort option, or alternatively a sadistic torture option for prisoners you plan to nugget.

Good mod though! I've already got a pawn that owes their life to it, so thank you!

You should add amputation of limbs for vampire colonies. Still have to add peg leg then remove :(

@SariusSkelrets honestly, lovely mod but surprised no one had made a mod to perform surgeries without MORE medicine while still under anesthetic

yaaaaaaaaaaaaaaaaaaaaaaay

Yes! Thank you so much for the update. Recently I had a playthrough where a pawn had an infected toe they were dying from, and without this mod I made the decision to dev mode cut the toe off myself because not doing it went against the story I had in my head. Now I don't need to cheat the limbs off! Yay!

The option to cut off limbs is only available if it has an infection or something as the mod is currently written it uses the same logic and the built in amputation system

I dont see any option to cut hands, legs etc, only organs

Pushed an update for 1.4 - The code behind figuring out how a surgery fails was completely rewritten in 1.4. I'd be curious to hear everyone's thoughts on whether this affected the balance of this mod or not. Let me know if you encounter any issues

1.4*

is this getting updated to 1.14?

Compatible with Extended Human Body Simulation?

Quite useful but could it check for the pawn's state before applying the debuff?

I've sheduled a bunch of operations at once so the pawn was still under anesthetic when their eye was cut out. They still got the "operated without anesthetic" debuff

Awesome mod but it confuses with medical treatment. Would be nice to have a (non-anesthesic) label.

Can I play 1.2?
It just broke down directly.

@созерцатель I don't think that's possible due to the games limitation, maybe a seperate mod that adds a special self-surgery table but that's for another mod.

I don't know if it is a right place to ask but is there a chance to have option to cut off your OWN leg/arm/at least finger? That's what I call "emergency sergery". This thing exists IRL in extreme situations to prevent gangrene. Pretty annoying to see how my pawn continues to die every naked brutality srart because iguana bites him and he can't do anything with his little finger. Sorry for my English and thanks for you work. Maybe the mod I am talking about is already exist but I couldn't find anything alike.

i've been silently waiting for a mod like this for a while, thanks so much! it's great

@GHOST It's been already fixed.

What a weird thing to break. Do you know how invasive that particular bug is with 'more precepts'?

Confirmed! And looking at it I'm not sure I'll be able to resolve that on my side. The author appears to have patched a different part of the medical bill process and didn't account for the possibility of no medicine being present for it. For now I'm going to mark it as an incompatible mod, I'll see if I can get the author of the "More Precepts" mod to fix it.

GOT IT! After a stupid amount of trial and error, it's the "More Precepts" mod - https://steamproxy.com/sharedfiles/filedetails/?id=2559533848

Removed basically everything but "war crimes" and "just cut it off", and it works without issue.

I messaged the other dude, here's their modlist: https://rentry.co/2rhdd

I removed war crimes, still breaks.

Alright I figured it out
it's Warcrimes 2, reason:
it adds very simmilar mechanics to "just cut it off"

Issue still occurs without diseases overhauled, testing things on fresh saves now.