Operate Now: Hospital is a rare hybrid that actually works. It manages to balance the high-intensity precision of a surgical simulator with the strategic long-term planning of a tycoon game. From a design perspective, the touch controls for surgery are surprisingly responsive; you really feel the tension when suturing a wound or removing a foreign object.
What I find most compelling is the drama. The game weaves a narrative thread through your staff, making the hospital feel alive rather than just a collection of menus. Managing your surgeons' fatigue while trying to upgrade your facilities creates a genuine sense of pressure. It’s not just about the operating table; it’s about building a medical legacy.
I approached 'Operate Now: Hospital' hoping for a tense, skill-based surgical simulator akin to the old Trauma Center series on the Nintendo DS. Unfortunately, the actual surgical gameplay is merely a secondary feature buried beneath a tedious, timer-laden base-building game. The operations themselves are rudimentary; tracing lines on a screen and tapping icons in a strict sequence offers very little in the way of challenge or mechanical satisfaction. The game guides your hand so aggressively that you cannot fail unless you intentionally ignore the glaring on-screen prompts.
The broader management layer is entirely devoid of strategic depth. It exists solely to introduce artificial wait times—building a new ward or hiring staff takes hours of real-world time unless you surrender to the microtransactions. The narrative attempts a dramatic, soap-opera-esque tone, but the writing is juvenile and poorly localized. This is not a game about skill or medical strategy; it is a meticulously crafted time-sink designed to frustrate players into opening their wallets. A massive disappointment.
Performance: Loading times between the management screen and surgery screens can be irritating.
Buy if: You enjoy passive city-builders and medical dramas on television.
Skip if: You are looking for a complex simulation or resent energy meters.
Available on: iPhone, iPad, iPod
Version 1.58.6Wed Dec 11 2024
- Various updates and bug fixes
Become a surgeon and build your own hospital.
Have you got what it takes to become a world class surgeon and make your hospital the greatest medical center in the world?
- BUILD, upgrade, and continually improve multiple hospitals and their facilities.
- CUSTOMIZE your hospital with unique and crazy skins.
- MANAGE your staff and improve their skills.
- OPERATE your patients by performing incredibly realistic surgeries.
- COLLECT staff members cards & boosters.
- COMPLETE characters backstories and unravel their hidden past.
Join Operate Now's player community: Operate Now's franchise has been downloaded over 40 million times by players all around the globe.
Requires iOS 14.0 or later. Compatible with iPhone, iPad, and iPod touch.Become a surgeon and build your own hospital.
Have you got what it takes to become a world class surgeon and make your hospital the greatest medical center in the world?
- BUILD, upgrade, and continually improve multiple hospitals and their facilities.
- CUSTOMIZE your hospital with unique and crazy skins.
- MANAGE your staff and improve their skills.
- OPERATE your patients by performing incredibly realistic surgeries.
- COLLECT staff members cards & boosters.
- COMPLETE characters backstories and unravel their hidden past.
Join Operate Now's player community: Operate Now's franchise has been downloaded over 40 million times by players all around the globe.




















Operate Now: Hospital is a medical simulation game that combines realistic surgical gameplay with hospital management. As a lead surgeon, you will perform life-saving procedures using specialized tools. As a manager, you are responsible for constructing new departments, hiring skilled medical staff, and navigating the interpersonal drama that comes with a high-stakes medical environment. The game features a serialized storyline that unfolds as you progress through your medical career.
Realistic surgical procedures
Deep hospital management system
Gripping narrative storyline
Staff recruitment and training
During surgery, keep your hand steady. Follow the on-screen prompts for incisions and use the cauterizer quickly to minimize blood loss and keep the patient stable.
"10 million is a modest success but it is definitely a nice milestone for us," said Spil Games CEO Tung Nguyen-Khac. "It demonstrates...
PocketGamer.biz - Mon Aug 13 2018
Spil Games' Operate Now: Hospital surgery simulation game has surpassed 30 million downloads on mobile. That makes it the Dutch company's No...
VentureBeat - Thu Jun 13 2019
Spil Games. 3/5 stars. Run a hospital, show off your skills as a surgeon, and save life and limb – that's the general idea behind Operate...
South China Morning Post - Tue Feb 13 2018
Azerion has acquired the mobile game division of Dutch developer Spil Games for an undisclosed sum, creating the biggest casual gaming company in the...
mcv/develop - Thu Feb 13 2020
Dutch mobile game publisher Spil Games has a hit with Operate Now: Hospital, a surgery game that has been downloaded more than 10 million...
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PocketGamer.biz - Sun Jan 13 2019
Media, gaming, and tech company Azerion has acquired the mobile game division of Spil Games. The two companies have also set up a strategic...
VentureBeat - Thu Feb 13 2020
Azerion will launch five Sanrio Hello Kitty-branded games as web-enabled HTML5 apps, the lingua franca of the web.
VentureBeat - Sun Mar 13 2022
Become a world class surgeon and make your hospital the greatest medical center in the world. Build, upgrade, and continually improve multiple hospitals.
AppAdvice - Sun Jul 13 2025
Upgrade your ER and Operating Rooms first. Better equipment leads to higher success rates and more resources to hire top-tier surgeons.
It starts simple but becomes more complex. Accuracy and speed are rewarded with higher ratings.