Picked this game up when it was on sale for $3.25 and what a deal.
First and foremost, if you are the kind of gamer who gets easily frustrated then this game is NOT for you. I have never sworn so much at a video game but unlike other games where I'd swear and quit, with this one, I swear and keep trying, again and again.
I have not finished the game, so far I've done the 5 surgeries (heart, kidney, brain, eye and teeth) in the operating room, in the corridor and I just finished the heart surgery in the ambulance. After the ambulance levels there's zero gravity and somewhere else that's I'm not sure about and maybe something even beyond that.
I'm not too proud to admit it but I had to look at some YouTube videos to figure out what the hell I was supposed to be doing. However, even knowing what you're supposed to do, is only part of the battle - being able to do what is required is where the challenge lies. And to make matters worse, there are videos of people performing surgeries flawlessly and damn, I tip my hat to those folks but it does seem possible and once you figure out what you're doing, you'll find you're the only reason you can't do it perfectly.
The game can work with the motion control of the joystick but I found myself using the right stick instead and that worked quite well.
There is no time limit to the surgeries other than if your patient bleeds out, its game over. I've had surgeries last under 2 minutes and some (like the heart surgery in the ambulance) take me 14 minutes.
There appears to be around 56 trophies and what I appreciated was that the game developers seemed to be having fun when they made this game it shows. At one point, if you place a heart in the heart transplant patient while his heart is still beating, you get a trophy for creating a Time Lord (Doctor Who reference for those not familiar with the show) and little things like that are nice.
Here's a tip - the green syringe (which will make you feel like you're on an acid trip if you stab yourself with it) will reduce the blood flow of the patient, so it's always handy to have it ready and good to go when you start your surgery.
Had I paid full price for this game, I would have not felt ripped off.
If you're up for the challenge and can control your rage, give it a go - I'm glad I did.
If you're curious, the game installs to 2.48GB and the save game file is 10.49MB.