Operate Now: Hospital in IOS

Surgery Simulation Game

Walkthrough, Guilds, Tips on this special game

Our Site Score

82/100

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.

Reviewed on: Tue Feb 24 2026
Dinsun Avatar

Dinsun Review

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.

Overall Stats

Pros & Cons

  • Surgical sequences have decent, semi-realistic graphics
  • Attempts to weave a narrative into a mobile management game
  • Operations lack any real difficulty or skill requirement
  • Suffocating free-to-play wait timers and energy systems
  • Hospital management is shallow and unengaging

Technical Report

Performance: Loading times between the management screen and surgery screens can be irritating.

Accessibility:

    Audience Fit

    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.

    Similar Games:

      Reviewer Context

      • Reviewer: Dinsun, 40-year-old male, highly critical and conservative in gaming tastes.
      • Hardware: iPhone 13 Pro
      • Playtime: 4 hours
      • Status: Abandoned due to wait timers

      The Game

      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.


      Ratings & Reviews

      4.5 out of 5 with 92971 Counts
      Age Rating 16+

      Screenshots

      Operate Now: Hospital screenshot 1Operate Now: Hospital screenshot 2Operate Now: Hospital screenshot 3Operate Now: Hospital screenshot 4Operate Now: Hospital screenshot 5Operate Now: Hospital screenshot 6Operate Now: Hospital screenshot 7Operate Now: Hospital screenshot 8Operate Now: Hospital screenshot 9Operate Now: Hospital screenshot 10Operate Now: Hospital screenshot 11Operate Now: Hospital screenshot 12Operate Now: Hospital screenshot 13Operate Now: Hospital screenshot 14Operate Now: Hospital screenshot 15Operate Now: Hospital screenshot 16Operate Now: Hospital screenshot 17Operate Now: Hospital screenshot 18Operate Now: Hospital screenshot 19Operate Now: Hospital screenshot 20

      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.

      Features

      1

      Realistic surgical procedures

      2

      Deep hospital management system

      3

      Gripping narrative storyline

      4

      Staff recruitment and training

      Tips

      Promotion Videos

      Operate Now: Hospital - Game Trailer (Spil Games) - YouTube

      Related Videos

      News on this game

      Spil Games' surgery simulator Operate Now: Hospital racks up 10 million downloads in six months

      "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 hits 30 million downloads

      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

      Game review – Operate Now: Hospital is hardly cutting edge

      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

      Spil Games ‘will be a force to be reckoned with’ following Azerion acquisition

      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

      Operate Now: Hospital surgery game hits 10 million installs in 6 months

      Dutch mobile game publisher Spil Games has a hit with Operate Now: Hospital, a surgery game that has been downloaded more than 10 million...

      VentureBeat - Mon Aug 13 2018

      There's absolutely no doubt that Bullfrog's Theme Hospital was one of my favorite games of all time. I enjoyed building my team,...

      GamingTrend - Sat Jan 13 2018

      Spil Games' Troll Face Quest series breaks 100 million downloads

      Spil Games' Troll Face Quest series has broken the 100 million mark for downloads with and impressive 90 per cent organic installs.

      PocketGamer.biz - Sun Jan 13 2019

      Azerion buys Spil Games’ mobile game division

      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

      Hello Kitty fans will get 5 HTML5 games from Azerion and Sanrio

      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

      Operate Now: Hospital by SPIL GAMES

      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

      Gameplays

      Q&A

      It starts simple but becomes more complex. Accuracy and speed are rewarded with higher ratings.

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