Trauma Center: Second Opinion
                        Full XS Rank Guide/Walkthrough
                           
                             September 20, 2008
                                Version 1.00
                              By: S.A. Renegade
                     Email: renegade@scathingaccuracy.com

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                              Table of Contents

Version History

Introduction

How to make more effective use of your tools

General tips

Chapter 1 - Derek Stiles

1.1 - Standard Procedure

1.2 - Learning the Ropes

1.3 - A Farewell

1.5 - Singing the Blues

1.6 - A Real Doctor

1.8 - Life or Death

Z.1 - From Overseas

Chapter 2 - The Healing Touch

2.1 - Dormant Ability

2.3 - Striving for Asclepius

2.4 - Awakening

2.6 - Just Let Me Die

2.9 - Please Let Me Live

2.11 - For the Greater Good

Z.2 - Miracle

Chapter 3 - Caduceus

3.2 - GUILT

3.4 - Something Precious

3.6 - An Explosive Patient

3.8 - Caduceus on a Plane

3.10 - Pandora's Box

Z.3 - Pursuit

Chapter 4 - Bio Terror

4.2 - Race for the Cure

4.4 - Stepping Up

4.6 - The First Step

4.7 - Medical Research

4.8 - The Next Step

4.9 - Progress

4.10 - Prolonged Struggle

Z.4 - Transplant

Chapter 5 - It Never Ends

5.2 - Under the Knife

5.3 - Shifting GUILT

5.4 - GUILT Evolves

5.6 - Infection

5.8 - A Devil

5.9 - Death Awaits All

Z.5 - Sayonara

Chapter 6 - Dark Gospel

6.3 - Relapse

6.4 - Second Opinion

6.6 - The Future of GUILT

6.7 - Fallen Heroes

6.8 - Vulnerability

Chapter X - Confidential Operations

X.1 - Kyriaki (Derek)   |  X.1 - Kyriaki (Naomi)

X.2 - Deftera (Derek)   |  X.2 - Deftera (Naomi)

X.3 - Triti (Derek)     |  X.3 - Triti (Naomi)

X.4 - Tetarti (Derek)   |  X.4 - Tetarti (Naomi)

X.5 - Pempti (Derek)    |  X.5 - Pempti (Naomi)

X.6 - Paraskevi (Derek) |  X.6 - Paraskevi (Naomi)

X.7 - Savato (Derek)    |  X.7 - Savato (Naomi)

Conclusion

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Version History

-1.00
The guide is done in its entirety. There will be no changes or additions to it
unless someone informs me of a flagrant error of some kind.

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Introduction

Hey there. I've decided to make this XS guide for Trauma Center: Second 
Opinion because this game is awesome and the best thing that will probably 
ever grace the Wii. I thought, hey, if I'm going to replay it, might as well 
write a guide while I'm at it. Yeah, I know the game is old but fuck you, I'm 
a renegade. And hey, if at least one person reads this and is helped in some 
way, it'll be worth it. And you know what? Even if no one is helped by this 
it'll still be worth it because I want to do it, so shut up already. That 
being said, the purpose of this guide is still to help people, regardless of 
whether or not it succeeds in doing so. Because of this, I'll try to change 
my tone a bit in the interest of being more helpful. XSing this game isn't an 
easy thing to do, and the last thing you want is your guide being a jackass 
at you, right?

Ahem. Right. Anyway. The reason this is called an XS guide is because getting 
XS rank in every operation is the only way to play the game and truly 
appreciate it. This guide is written assuming that you're playing on Hard 
mode, because this is the only mode where you can get the XS rank. Its main 
purpose is getting the XS rank in every operation, however, it also tells you 
what to do in all of them, so
You CAN use this guide as a more general walkthrough if you so desire, though 
a lot of the tips given throughout might be a bit of... overkill for simply 
passing the operations.

In addition to the guide and tips present therein, I also offer you videos 
demonstrating how to get the XS in every operation. You can find these videos
and the guide in its entirety on my personal website www.scathingaccuracy.com.
Specifically, at
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade

Anyway, I'm no legendary surgeon. I'm just an average player who happens to 
love this game. Because of this, my firm belief is that, if I can XS the 
operations in this game, anyone can. I'm not saying it's easy to do. It takes 
a good amount of effort and skill. But it's doable.

The aim of this guide isn't to show you "how the pros do it", or blazing fast
speed, or "perfect execution of every procedure". The aim of this guide is to 
help other players who might want to XS the game in their journey with very
detailed (sometimes maybe too detailed) tips on how to do it. I will try to
always make these tips as reasonable as possible. I will aim to never give you
tips and manuevers that an average player couldn't execute. Like I said, I'm 
no pro, so I probably couldn't give you ridiculous tips anyway. Obviously 
there are many different ways to play the game and to do things. I don't claim
my methods to be the best, the easiest, the cheapest, or the most effective. 
But they are the methods that worked for me and this is all I can give you.

XS isn't perfection. Oftentimes the game gives you quite a bit of leeway so 
that you can do things a little imperfectly from time to time, and still get 
the XS. I reiterate that the aim of this guide isn't perfection. Throughout 
the guide you will doubtless see me make less than perfect moves, or see 
manuevers that could have clearly gone a bit better. I opted to leave these 
things as they are, firstly to further drive the point that the purpose of 
this guide is simply to obtain the XS rank, not to achieve perfection 
Secondly, because the tips take into account the leeway the game gives you. 
Thirdly, because I believe videos that are more "down to earth" are more 
helpful as a guide than unreasonably perfect blazing fast videos that are the 
culmination of countless retries.

So I think that's about it for my introduction. Welcome to my Second Opinion 
XS guide. I do sincerely hope I can help you even a little.

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How to make more effective use of your tools

-Antibiotic Gel-

This is possibly the easiest tool to use. You can't get any misses with it, 
and there's not a whole lot to it. However, I will say this: when using the 
gel, make sure to be constantly pressing the button consecutively. You need to
do this because if you simply hold it down, the gel will only spread a little 
bit and then stop completely.

When gelling the incision area before the lobectomy, a single pass with the
gel is enough. Just make sure you don't do it TOO fast or you might not get it
on all the dots. When gelling the incision area before applying the bandage, 
you need to gel throughout the entire line and make several passes. This one 
you can do quickly, just make sure you do many passes with the gel until you 
get the OK.

-Syringe-

The syringe might not seem all that complicated, but it is actually one of the
hardest tools to use. Possibly the hardest one. The reason is that, when
injecting something that isn't stabilizer, if you miss the spot where you're
supposed to inject by a little bit, you will get a miss. This single-handedly
destroys your chance of getting the XS in an operation no matter what you have
done up to this point, so as you can see, it is a very dangerous tool that
should be used with care.

When injecting stabilizer you don't have to worry about getting misses. 
Generally speaking it doesn't matter where you inject it. Oftentimes you'll 
want to inject repeatedly as fast as you can. In my experience it seems that 
the more you fill up the syringe before injecting, the better. This isn't so 
easy to do, however, since you generally want to inject so fast that you might
tend to jump the gun a bit and not fill it up completely every now and then.
Don't worry so much though. In the grand scheme of things it isn't all that
important if you fill your syringe completely or 3/4s of the way sometimes.

There is a trick that you can do when using the syringe, which I call warping.
When filling the syringe or injecting with it, you may notice that, as long as
you have the button pressed, and as long as the syringe hasn't finished 
filling up/emptying out, you can move the wiimote as much as you want and the 
cursor won't move. But as soon as the syringe is done filling/emptying, the 
cursor will appear where you are currently pointing the remote. Using this 
trick, you can save some time. For example, when treating inflammations, you 
can move the remote over to the anti-inflammatory bottle while the syringe is 
injecting, and when it's done you can immediately fill it up again. It works 
the same the other way. While it's filling up you can move over to an 
inflammation and inject it immediately.

When dealing with inflammations and injecting other things that aren't 
stabilizer my recommendation is to be very careful so as to avoid a miss. 
When doing this, your first instinct might be to concentrate on what you're 
trying to inject, but in my experience, it's actually better to concentrate 
your gaze on the wiimote's cursor, and relegate the object you're trying to 
inject to your peripheral vision. I find that this makes it easier to make 
sure that the cursor is over the object before pressing the button.

-Sutures-

The sutures aren't that hard to use, and they won't get you a miss if you fail
other than when you're closing up a patient. However, if you get a BAD your
chain will break, which is undesirable. The interesting thing about the 
sutures is that the motions required to get a COOL vary depending on the wound
or opening. There tends to be little way to know exactly what the game will 
accept as a COOL for a particular wound until you try. Generally speaking 
though, when dealing with lacerations a good rule is to make many passes. For 
small ones 4-5 passes tends to be enough, for long ones, double that amount. 
For huge ones around 15.

It's important that you learn to suture very quickly. The easiest lacerations 
to take care of are the ones that are more or less vertical. Do it by snapping
your wrist left to right as you move your arm top to bottom. The ones that are
horizontal are harder since snapping your wrist up and down doesn't feel quite
as natural as to the sides. Generally speaking I tend to do these lacerations 
a little bit slower since I have to actually move my arm both up and down and 
to the side.

-Drain-

Ok I lied. The antibiotic gel isn't the easiest tool to use. It's probably 
this one. To use the drain just place it over something and hold down the 
button. Easy. There's not a whole lot to it. Though I will say to remember 
that it has an area of effect. Oftentimes if there are two things you need to 
drain and they are near each other, it's more effective to place the drain 
between them. They will both be drained at the same time. This way you can 
drain things twice as fast. Also remember to keep it steady when draining 
something that takes a while.

-Blue Lazor-

The problem with the blue laser is that 1) it tends to wear out quickly and 
2) it can damage organ tissue. Therefore, it's usually a good idea to use it
moderately. Most things you use the laser on can be burned with just a 
momentary prick, so there's rarely a need to keep it activated for a long 
time. Also, remember that, like the drain, it also has an area of effect. If 
there are two things near each other, you can laser between them and they'll 
both get burned.

-Red Laser-

The red laser which you use when fighting Pempti works exactly the same as the 
blue one except it never wears out, so unlike the other one you should keep 
this one activated 24/7.

-Ultrasound-

This is another tool with not much to it. When trying to locate moving bodies
it's a good idea to spam it near the center of the organ. When trying to find
stationary bodies it's also a good idea to start near the center and slowly
widen your searching area as you go. Remember that sometimes you might
momentarily pick up something with the fringes of the ultrasound but it might
disappear and you'll have to scan it again with the center of the tool.

-Magnification Tool-

The magnification tool is used in a few operations near the start of the game
and then is promptly forgotten. The only advice I will give here is to 
remember that it sits in the same position as the ultrasound and that you 
need to press A to activate it. B will not work.

-Scalpel-

The scalpel reduces vitals at around the same rate that the gel raises them.
There's not really much I can tell you about using this tool. It's pretty
straightforward. I will say that when you're cutting along a dotted line, it's
usually better to make the motion relatively slow so that you're more precise
rather than to rush and miss some dots and having to go back.

-Forceps-

The forceps are almost the sole reason why I made this section. My 
recommendation when using these guys is to realize that you are not actually 
using a real forceps. It is NOT necessary to press both A and B at the same 
time to grab something and let go of them to place it somewhere.

Instead, when using the forceps, ALWAYS have the A button pressed. Put your 
thumb on top of it and grip the wiimote firmly with it. When grabbing 
something, simply press the B button (the A button should already be pressed, 
and indeed, should be at all time), and when placing something simply let go 
of the B button. Not both buttons.

This little trick works well and gives you much, much greater control and
precision with the forceps.

-Healing Touch-

The Healing Touch is a bit of a strange beast in this game. Mainly because 
it's not very well implemented compared to the Healing Touch in, say, 
New Blood. Truth is, you NEVER need it. The only operations in which you're 
forced to activate the Healing Touch are Striving For Asclepius and the 
Savato battle.

You will never see me use the Healing Touch in any of my videos when it's not
necessary. In fact, I will rarely even acknowledge its existence. None of my
strategies depend on it. If you want to use it, that's up to you.

If you want my advice on learning to draw a star and the video demonstration, 
go to operation 2.3 - Striving For Asclepius.

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General Tips

The golden rule when it comes to XSing this game is practice, practice, 
practice. This guide aims to help you in this endeavor, but like most action 
games, no amount of tips and no amount of knowledge can ever substitute 
actual experience. So get in there and do stuff. Get comfortable with the 
tools, with the wiimote, with the nuances of the game. You should be so used 
to it that you can switch between tools without even thinking.

Generally speaking, I recommend using the B button in favor of the A button. 
In fact, you should never press the A button unless you're using the forceps. 
Do not use the wiimote jacket or any other accessory of that kind. If you're 
doing something that requires precision, hold the wiimote near the top part 
rather than the bottom, place your thumb around the area to the left, slightly
bottom-left of the d-pad and upper left of the A button and grip firmly with
it. In my experience this affords greater control. You should grip with the 
tip of your thumb so that you're not actually pressing the A button, but if 
you have to, you can simply bring the rest of it down and easily press it with
the joint between the proximal and distal phalanges while still maintaining 
the grip.

When using tools, sometimes it's a good idea to keep the control stick HELD
DOWN in the position you want. This not only makes it so that you switch to 
that tool instantly as soon as people are done talking/a transition ends, but 
it also makes it less likely that it slips when moving back to the neutral 
position. Obviously this shouldn't be done if you're going to use a certain 
tool for an extended period of time, but it certainly helps when you're 
quickly switching between different ones.

If this is your first Trauma Center, XSing this game will not be an easy task.
While this guide should make things easier for you than if you had to figure
everything out, don't expect a smooth ride all around. Expect to be 
challenged. Sometimes, a new operation might seem so difficult that you can't 
imagine being able to XS it. But don't despair. I can guarantee that each and 
every single operation is not only possible but also balanced, reasonable, 
and fair. Once you've mastered them and go back, you'll see that you can XS 
them consistently and almost effortlessly. Always the mark of a good action 
game.

One of the beautiful things about this game is that very few things are out of
your control. Whereas in more traditional action games there are a lot of 
things happening, not all of which you might see, such as the classic fireball
of doom from offscreen, in Second Opinion everything happens onscreen. You 
can see everything. When you fail, try to see what you did wrong. Try to see 
where it is that you can improve. Look at my videos and try to see what 
you're doing differently and how this can affect the outcome.

Always try your best to stay calm. This is the most beneficial state in which
you can play the game. Getting agigated or angry will only lower your skill.
The problem is that adrenaline, or epinephrine, is a fight or flight hormone.
Basically it prepares the entire body including the muscles for emergency 
actions such as running or fighting. But it does not prepare the muscles for 
precision work of the kind you need to succeed in this game. Quite the 
opposite. It gives you what I call the jitters. 

This is why keeping a calm mind is so important. There are many methods you 
can use to help calm you. When you feel overwhelmed, take a small break, just 
a few minutes is fine, stand up, walk around a little, stare out the window. 
Surf the net, read a little. The benefits of doing this are actually two-fold:
not only does it help calm your mind, but also your wrist. It's no secret that
prolonged use of the wiimote causes quite a bit of wrist pain. Even more if 
you suffer from carpal tunnel syndrome. Resting for a few minutes in between 
retries does wonders to help prepare you for the next operation. In a related 
note, it's also possible that your hands can get deathly cold while playing 
the game, especially if you live in a cold place. This can hamper you a 
little, so I recommend washing them in hot water every now and then. This 
might only be a temporary solution but it helps and gives you an excuse to 
take a quick break.

Sometimes there are some operations that are so long that your wrist can get
very tired before they're over. In these situations, pausing the game and 
resting for a few seconds or minutes isn't a bad idea.

If you are very tired or need sleep, it's probably also a good idea to do
so, as it can negatively affect your performance. You want to be calm, but you
also want to be alert. You don't want to lean too far to either side.

When you fail, try not to blame outside forces. This is a psychological 
defense mechanism that manifests in a surprising amount of people. It might 
make you feel better, but it tends to hinder improvement. As I said before, I 
can guarantee that everything in this game is fair, balanced, and reasonable. 
So don't blame your failures on the game. Don't say "The hit detection is 
off," or "It's random," or "The wiimote isn't good enough". Instead say 
"My hand slipped," "I wasn't fast enough," or "I haven't practiced enough". 
Only by accepting responsibility can you strive to change what has gone 
wrong before.

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1.1 - Standard Procedure

Special Bonus

-No mistakes - 1000
-Vitals stayed above 75 - 500
-Completed with 275 left - 300
-6 COOLs earned - 200

This being your first operation, it's almost criminally easy. Because of that,
there's really not much to say. You have almost no freedom when it comes to 
tools so just quickly do what you're told to. Make sure you get COOLs in as 
many things as you can. When suturing, I'd recommend doing many quick and 
wide passes over the lacerations.

When extracting glass shards, a good rule is to always be slow and careful.
Normally this is what I'd tell you, but this operation is so short and easy 
that you can afford to just go crazy and try to do everything fast if you 
want.

For my 1.1 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part2

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1.2 - Learning the Ropes

Special Bonus

-No mistakes - 1000
-Completed with 260 left - 300
-3 COOLs earned - 700

Like the last one, this operation is also too easy. First of all, you're going
to have to press the skip button quite a few times throughout the operation
as the game likes to deactivate it for you here. Also like the previous
operation, you have no freedom here when it comes to tools. The only thing 
I'll make a note of, is that when the screen is in the middle of the 
transition after the lobectomy, press the skip button and keep the control 
stick in the upper-right position. That way you can use the stabilizer 
immediately. Make absolutely sure that you fill the syringe completely 
before injecting, otherwise you'll be forced to inject a second time and 
waste time.

After this you'll have to take care of a single tumor. Normally we wouldn't 
use the ultrasound to find it, but like I said, you have no freedom in this
operation. Therefore, just go with the flow and find the tumor immediately 
with the ultrasound. It's just one tumor, so there's really not much to say 
here when it comes to procedure. Just take care of it.

When you're finishing up the patient, make sure you get COOLs in the final 
suture and the bandage. Otherwise you won't get the XS. The operation is 
short and easy so it's not a big deal if you have to restart it, but it 
doesn't hurt to be careful.

For my 1.2 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part3

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1.3 - A Farewell

Special Bonus

-No mistakes - 1000
-Completed with 240 left - 300
-3 COOLs earned - 700

Now it starts to get a tiny bit harder but we're still in the drop dead easy
phase here. You can use all of your tools here from the getgo so when the
operation starts keep the control stick firmly on the up position so you can 
gel the incision area as soon as you can. Don't worry about hitting the skip 
button at this point since it'll just reset. Wait until after you've made the 
incision and hit the skip button while you're going inside the patient. I 
didn't do that in the video 'cause I suck and forgot, but just because I 
suck doesn't mean you have to! 

Anyway, once you're inside, there'll be a couple inflammations to take
care of. These tend to be a pain but since they're only two and the operation
just started, you can afford to be fast with those injections. Now after 
that's done, it's time to treat the tumors. To get COOLs when you're 
extracting the tumors you need to find them without the help of the 
ultrasound like in the video. However this isn't actually necessary for the 
XS in this operation, so if you'd like to use the ultrasound, go ahead. Once 
you've cut them with the  scalpel, you'll want to drain two or three of them 
right after the other, and use the scalpel to excise them. Don't use the 
forceps to remove them until all of them are ready so you can remove all three
and place the membranes in all of them without having to switch tools. 
Otherwise it takes too much time. If you check the video, you'll see that I 
drained all 3 tumors before using the scalpel. This is good, but the time 
limit is a bit strict for that, and it's easy for the third tumor to build 
cytoplasm again before you get a chance to excise it. This will cause you to 
forfeit the COOL for that particular tumor. To avoid this, you
can just drain 2 of the tumors and excise them, and then drain the third one
afterwards. This is easier to do and works just as well. However, if you still
want to do all 3 at once, I would recommend to use relatively slow and 
calculated motions with the scalpel rather than moving it quickly. The lines 
are in a bit of a funky formation, and swift motions seem to miss dots 
frequently. Check the vid to see just how slow. Once the tumors are done with 
it's pretty much smooth sailing, but make absolutely sure that you use the 
syringe to raise vitals to 99 before you finish up.

For my 1.3 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part4

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1.5 - Singing the Blues

Special Bonus

-No mistakes - 1000
-Fewer than 6 blood pools - 500
-Completed with 210 left - 300
-3 COOLs earned - 200


Get inside the patient. Remember not to hit the skip button until the moment 
when the screen is actually transitioning after you've made the incision. Keep
the control stick firmly on down-left position so you can magnify the polyps
immediately. Remember to magnify with the A button. The B button will not 
work. After that, quickly change to the drain and drain the blood pool, then 
switch to the laser and start burning them. If you notice, the laser has a 
bit of an area of effect, so if you can position it correctly between polyps 
that are in a cluster, you can burn off several at a time instead of one by 
one. This helps to make things a bit faster.

After the first few burned polyps, another blood pool will automatically form.
This is the only time that one should form after you've drained the inital 
pool. Drain it and continue using the laser. Try to only keep the laser 
activated just enough to burn the polyps so you don't cause any additional 
damage and don't keep the button pressed too much when you're going from 
cluster to cluster. Don't worry too much though because it's actually not that
easy to cause additional damage or blood pools. Wait until all of the polyps 
have been burned to apply the antibiotic gel. Otherwise it takes too much 
time.

Now after you're done with those initial polyps, a second wave will appear at 
the bottom. What is going to happen here is that after you treat a group of 
polyps, another group will appear, then another, and another, and so on. The
waves will always alternate between the top of the pharynx and the bottom, so
what you want to do is right after you've applied the gel, very quickly change
to the magnification tool, demagnify, and then magnify on the general area 
where the next wave will appear. You want to do this quickly enough so that 
it's before they actually appear. That way you're ready to drain that initial 
blood pool immediately. Keep doing this procedure a few times, and that'll be 
it.

Now it's time to finish up, but here you'll want to be a bit careful. The 
problem is that you absolutely MUST get COOLs on the final suture and the 
bandage. Otherwise you will not get the XS. If you've done everything 
correctly up to now, you should have plenty of time, so be careful and don't 
rush. Try to make the suture lines much wider than the actual opening like I 
do in the video. Be slow when applying the bandage because the pharynx is a 
bit small and awkward for this. Don't worry so much about the time. Just take 
your time and make sure you place is correctly. 

For my 1.5 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part5

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1.6 - A Real Doctor

Special Bonus

-No mistakes - 1000
-Vitals stayed above 25 - 500
-Completed with 210 left - 300
-3 COOLs earned - 200

When you go inside the patient you'll see a truckload of inflammations. These 
are going to constantly be draining his vitals so let's take care of them 
first. First of all, remember to be fast but also to be very careful. If you 
inject the anti-inflammatory into a part of the patient that isn't an 
inflammation, you will get a miss and forfeit the entire operation. That 
being said, don't worry too much because you've just started. If you have to 
restart it's not as big of a deal as if you were doing this at the end of an 
operation. Remember that a full syringe will have enough to treat 4 small 
inflammations and 2 big ones. Use this to plan ahead and save yourself a few 
seconds if you wish.

You'll want to keep watch on the patients vitals with your peripheral vision 
as you work on the inflammations. You do not want vitals to drop below 25, or 
you won't get the XS. Therefore, when you notice vitals begin to change to a 
reddish hue, stop for a bit to inject stabilizer and bring him back up to 80 
(which is the max). This should only happen once about halfway through 
treating the inflammations, and a second time after they're all gone.

Once you've pumped him back up to 80, it's time to start looking for the 
tumors. You don't necessarily have to get COOLs for these, but it helps, so 
try to memorize the locations of the tumors (either through practice or 
looking at the video) and make cuts with the scalpel where you think they are.
It doesn't matter if it takes several tries. The tumors in this operation are 
smaller than the ones in 1.3 and thus easier, so it's not too hard to drain 
all 4 of them one right after the other and use the scalpel in time before 
the 4th's cytoplasm reappears. Make sure to raise vitals to about 55-60 after 
you've used the scalpel and before you extract them with the forceps.

After they're all treated, there's a lull of about 5 seconds where nothing's
happening but you can still use your tools, so use this opportunity to raise
the patient's vitals to max, then switch to the ultrasound before the lull is
over. Once it is, Angie will force you waste time and check around with it.
Just press the button as fast as you can and use the ultrasound around the
patient. Doesn't really matter where you use it as there's nothing to find.
After some seconds of indulging her, it'll be time to close up the patient.
The final suture in this one is very lenient so you can afford to be
fast/careless and still get a COOL, and if you got COOLs from the tumors you 
also don't have to worry about getting one on the bandage.


For my 1.6 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part6

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1.8 - Life or Death

Special Bonus

-No mistakes - 1000
-Completed with 240 left - 300
-10 COOLs earned - 700

This one is pretty standard as far as operations go but it's actually the 
hardest one so far. The reason being that you can get all the special bonuses 
and still only get S rank. To get the XS you need to score above 6000 points. 
To do this you will need to get as many COOLs as you can. You don't actually 
need to get a COOL on everything you do, but make sure you get the COOLs for 
the final suture and the bandage, as those are the most important ones.

So let's get this started. First of all, hit skip so you can go directly into
using the defibrillator. Try to get the patient revived in as few uses as
possible, but don't worry too much about it as time isn't all that important
here. What is important is getting COOLs, so don't rush too much. Take things
slow and steady and make sure you do it right. The lacerations are pretty much
free COOLs, and so is the lobectomy. Once you're inside it's time to extract
some glass shards after telling Angie to shut the fuck up. Try your best to 
get COOLs in as many of these as possible, but don't worry if you get GOODs 
in a few. My recommendation for the extraction of these shards is first of 
all, to take it slow. Second of all, rather than watching the glass shard, 
instead focus on the remote's cursor. Make sure that when extracting, the 
cursor moves in as straight a line as possible perpendicular to the wound the 
glass is being extracted from. Remember, what needs to move in a straight line
is the cursor and not necessarily the glass shard. I find that this is the 
best way to get COOLs here. 

After you've dealt with the glass, the patient will undergo cardiac arrest a
second time and you'll have to use the defibrillator again. Again, don't worry
too much about this. Still, try to have both your hands close to your body
before the patient flatlines, that way when you thrust them forward the sensor
bar will more easily register the motion.

After that's done the mother of all shards will appear. Just extract it as 
usual and suture the wound. It's easy. Once that's done there'll be a slight 
lull and Derek will activate the Healing Touch automatically. There's nothing 
special to do here. Just suture the wound that appears. It's a long one so do 
lots of quick and wide passes.

Now when it's time to finish up, I recommend taking it slow. Like I said 
before, the final suture and bandage are critical in pushing you over 6000 
points. The suture isn't very hard to get right as it's pretty lenient, but 
the bandage can be easily botched if you're rushing. Unless you're some kind 
of legendary surgeon, I would recommend waiting until the gel has disappeared 
to apply the bandage, otherwise it blocks your view and could mean missing 
the COOL.

For my 1.8 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part7

------------------------------------------------------------------------------

Z.1 - From Overseas

Special Bonus

-Max chain over 28 - 300
-No mistakes - 700
-Completed with 225 left - 500
-3 COOLs earned - 500

This operation is a pain when you don't know what to do, but once you do it's 
not much of a problem. Try to remember to hit the skip button as you're diving
into the patient so you don't get interrupted when you're about to align the 
ulna back into place.

Start by draining the blood pools. Remember that one of them has a minor wound
beneath it which can be treated quickly with the antibiotic gel. After that's
done, you'll extract the bone fragments. You can do this very fast since it's
almost impossible to botch. I'd recommend getting them from right to left but
it's up to you. Moving the ulna back into place is very frustrating when you
don't know exactly how you should place it, as you'll constantly keep getting
misses. But basically what you want to do is grab it from the tip and move it
so that it's pointing towards the broken bone on the bottom. Not the one on 
the right, but the leftmost one. There's no need to do this quickly. Just make
sure that when you let go of the forceps it is pointing in the right 
direction, otherwise you'll get a miss.

When that's out of the way, it's time to reform the broken bone with the
fragments you picked up. Because you're going for the XS, this means that 
you're going to want to memorize exactly where and how each bone fragment 
goes. This can be done either through sheer repetition or by carefully 
watching the video. It's your choice. I'm not going to describe in detail 
where and how to place each piece as that would be too tedious. It's much 
faster and helpful if you just watch their placement in the video. The order 
in which you originally picked up the fragments dictates the order in which 
they'll be given to you when it comes time to reform the bone, so my 
recommendation is to always pick the fragments in the same order. That way 
you'll know where each one goes ahead of time.

The main thing here is that you don't want to have to think about where to 
place the fragments. You must know through memorization. Remember that you 
don't have to rotate them to an exact position. The game gives you a little 
bit of slack in that regard. As a general rule, after you've placed a piece 
and before you grab the next one, remember to rotate your wrist back to the 
neutral position. You don't want to get caught with a piece on your hand and 
unable to rotate your wrist further. If you want to go one step ahead, though,
anticipate the direction in which you'll rotate the next piece before you 
grab it, and rotate your wrist towards the OTHER direction. That way when you 
do grab it and rotate it, your wrist will be in the neutral position, giving 
you greater control. 

After you've successfully placed all the available pieces, there will still be
one missing. It's always hiding in the same place, so there's no need to use
the ultrasound to find it. Simply make an incision with the scalpel in that
general area, grab it, and place it. This last one is easy since there's no 
two places where you can put it. Unless you decide to place it on top of 
another one, but why would you do that? In any case, gel over both bones 
quickly and several times. After you do that, there's a slight lull where 
nothing's happening but you still have control of your tools. It isn't 
necessary, but this is a good time to inject some stabilizer. It's better 
than doing nothing, anyway.

Now once you're out of the patient, be very careful. This last part is 
critical. It's absolutely essential that you get COOLs in both the final 
suture and the bandage. If you don't, you will not get the XS. There's no 
reason to rush, and it could very well mean you have to do everything all 
over again, so unless you're some kind of legendary surgeon, take it slow. 
As always, the suture is lenient and thus easy. As always, try to do many 
quick passes that are wider than the actual opening. The bandage can be 
easily botched, so wait until the gel completely disappears so your view 
isn't blocked, and apply it slowly. You can afford to lose a few seconds, but 
you cannot afford to miss the COOL on this one.

For my Z.1 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part8

------------------------------------------------------------------------------

2.1 - Dormant Ability

Special Bonus

-No mistakes - 800
-Fewer than 2 thrombi passed through - 700
-Completed with 240 left - 300
-3 COOLs earned - 200

Get inside the patient and hit skip when the screen is in the middle of the
transition. There are five blood vessels here. At the start, one thrombus will
come from each one. You can see them without using the ultrasound if you
concentrate, but you cannot treat them without using it. What we want to do 
here is ultrasound the first 3 thrombi and stop them with the forceps. I'm 
going to recommend that you leave the other 2 alone until after you've treated
the first 3, because treating all 5 within the allotted time is impractical. 
Maybe even impossible. You can stop those 2 to buy yourself time if you wish, 
but by the time you've finished treating the first 3, those 2 will have 
started moving again and that means you will only get GOODs when you treat 
them rather than COOLs. It doesn't really matter for the XS if you get GOODs 
on those, but it's not that hard to treat the first ones before those two get
past, so you might as well.

From left to right, the first thrombi that will appear will come from blood
vessel #1, #3, and #4. So we're going to choose those as the first ones to 
treat. As soon as you've magnified, switch to the ultrasound and use it on 
the ends of those three blood vessels until you've located the three thrombi. 
Once that's done, quickly pinch them with the forceps one right after the 
other, and then switch to the scalpel to make an incision in each one. I like 
to pinch them from right to left, and then go back from left to right cutting 
them. You'll want to do this very quickly on all 3. Once they're all cut, 
switch to the drain. We're going to drain all 3 of them before they get a 
chance to start moving again. What you want to do is start by draining the 
FIRST thrombus that you cut. If you cut them up like me, that will be the 
leftmost one. Then you want to quickly move the drain to the second one that 
you cut, and so forth. You must drain all 3 of them before they start moving 
again. It's not too hard, but if you screw up I suggest restarting. Don't use 
the gel just yet. Leave the cuts as they are.

By the time you've finished treating those thrombi, the two that we left alone
should be close to the bottleneck near the top of the screen. Fortunately for 
us, the bottleneck causes them to slow down somewhat. Quickly use the 
ultrasound on them and stop them with the forceps. Treat them the same way 
that you treated the first three. There's a very good chance that by the time 
you stop them, they'll be so close together that you will be able to drain 
both at the same time. This saves you a bit of time and makes things easier 
on you.

After you're done with those, it's time to spread antibiotic gel all over the
5 cuts. But be careful, as soon as you gel the first one and Angie remarks 
"Treatment complete!", five very fast thrombi will come up from each vessel.
Concentrate and try to see them without the ultrasound. They move very fast 
but there is an area near the bottleneck in which they will slow down 
somewhat. Do not use the scalpel until you've stopped all 5 thrombi. The first
one that will reach the bottleneck is the thrombus from vessel #2, and this 
will be the first one you want to stop. After that, use the ultrasound on the 
area where vessels #4 and #5 converge. You should spot both thrombi from these
vessels here and be able to stop them. Then, go back and use the ultrasound 
near where you stopped the first thrombus. The one from vessel #1 should be 
around here. Finally, stop the one coming from the central vessel, as this one
happens to be the slowest. The main thing here is that you want to use your 
ultrasound on the areas where the blood vessels converge.

Once all 5 of them are stopped, switch to your scalpel and make an incision. 
As soon as you do, Derek will automatically activate his Healing Touch. Once 
this happens you're pretty much home free. Cut up all 5 thrombi at once. With 
the power of the Healing Touch you have plenty of time to drain all 5 of them 
before they start moving again. Gel the cuts after you've drained. When you're
done with that, 2 very slow thrombi will come up from blood vessels #1 and #4.
Again, with the Healing Touch these are absolutely no problem. Take care of 
them as usual. After you gel the incision areas, you'll be done.

The opening in this patient is very strange, so to get the COOL in the final 
suture you're going to have to do it a bit differently. The opening is really 
big and unlike the other times where you'd make the lines wider than the 
opening, here you'll want to actually make the lines narrower than the 
opening. Check the video to see what I mean. Finally, if you've done 
everything correctly there will be no need to use stabilizer. Simply apply 
the bandage and you're done.

For my 2.1 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part9

------------------------------------------------------------------------------

2.3 - Striving for Asclepius

Special Bonus

Healing Touch activated successfully - 1200
4 skilled Healing Touches - 550
1 passable Healing Touches - 250

This operation is ridiculously easy. All you have to do is keep using the 
Healing Touch. That is to say, keep drawing a star. Remember back in 
kindergarten when all the girls had discovered how to draw stars and were 
drawing them all over the place and you wanted to draw stars too but didn't 
know how, so you went crying to your mom and she taught you how to do it? 
Well now that is going to come in handy because it's done in exactly the same 
way. What? You mean that only happened to me? Well whatever, fuck you. It was
kindergarten ok? And I didn't actually cry so get off my back!

Ahem. Right. In any case, the Healing Touch is very easy to use because the 
game is super lenient on what it accepts as a good star. There are different 
ways that you can draw one, but I'm going to show you the way I do it, which 
works very well for me. I'm not going to describe it with words because that 
would be too tedious. It would be much more helpful to simply show you.

You can do this operation as fast or as slow as you want. I'm going to show 
you two videos. A slow one to show you how to draw the star, and a fast one to
show you that it doesn't matter if the star looks ugly or is slanted to one 
side or what have you.

If you need help learning to draw the star, I recommend getting a piece of 
scratch paper and a pen, and start drawing as many stars as you can on it so 
that your muscle memory gets used to the motions necessary for it. You don't 
want to have to think about drawing the star. It should be something that you 
can do naturally. I know that drawing a tiny star on a piece of paper might 
not seem the same as doing it with the wiimote, but trust me, it's really the 
same thing.

For my 2.3 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part10

------------------------------------------------------------------------------

2.4 - Awakening

Special Bonus

-Max chain over 50 - 500
-No aneurysms ruptured - 700
-Completed with 150 left -200
-8 COOLs earned - 600

Get inside the patient as usual. An important thing throughout this operation
will be to memorize the general area of where each set of aneurysms is going 
to appear. That way you can maginify on this area before they come out and be 
ready to inject them immediately.

When you start there'll be a single aneurysm. You will first need to use the
magnification tool to get close, otherwise the game won't let you treat it.
Treat this one as you would. The scalpel lines are small and circular so they 
are very easy to excise. Something you should keep in mind throughout this 
operation is that when you've removed the aneurysm, drained the blood, and 
performed the anastomosis, but before you suture the blood vessel, you can use
this time to raise vitals without having to worry about the next set of 
aneurysms appearing.

In any case, after you've treated the first one, very quickly demagnify and
magnify on the left side of the organ. This is where the next one will appear.
There will be a slight lull before it does, however, and you should use this
moment to raise vitals. Don't bother filling the syringe with sedative
pre-emptively on this one, since it'll just reset to empty after the aneurysm
appears. Treat it like normal, then demagnify, and this time magnify on the
bottom right of the organ.

Fill your syringe up with sedative before the aneurysms appear here. What you
want to do here is inject the sedative on one of them, refill, then inject on
the other. Then quickly change to the scalpel and cut the one that you 
injected FIRST. Then cut the one you injected second. After that remove both 
of them with the forceps, then drain BOTH pools of blood, then connect both 
blood vessels. Do every step to both aneurysms right after the other. Don't 
treat one completely and then do the other.

After that's done, the next set will appear absolutely immediately. You will
have no time to do things pre-emptively, so just magnify on the area and treat
them the exact same way you did the last couple. However, this time, after
you've done the anastomosis, suture only one of them, and leave the other.
Raise vitals to max here, and only suture that second blood vessel after 
vitals are at 80.

When you suture that one, demagnify, and magnify on the right-center of the
organ. 4 aneurysms all ready to burst are about to appear here. At this point,
you can activate your Healing Touch if you want. This makes them extremely 
easy to take care of and no tips are needed. However, if, like me, you hate 
Angie and want to give her the finger, you can also treat the aneurysms 
without the Healing Touch. It's not too hard to do. First of all, fill up 
your syringe with sedative before they appear. When they do, the one you'll 
want to inject first is the one on the far left. This is the one closest to 
bursting. Inject it completely, then quickly fill the syringe up again and 
inject the one in the middle completely. Now, quickly fill up the syringe to 
full again. This time, what you want to do is inject the one on the right 
only halfway, and then the one on the top also only halfway. If you try to 
inject fully, there's a very
high chance that the other one will burst. Fill the syringe up again, and this
time inject those same two aneurysms fully. You should be able to get the
scalpel lines to appear on both of them with that single full syringe without
having to refill. At this point, the sedative on the aneurysm on the far left
will have worn off, but don't worry about it yet. Quickly use the scalpel on
those two aneurysms so you can stop worrying about them, then very quickly 
fill up the syringe again and inject sedative on the left aneurysm completely.
This should make the scalpel lines appear again. Refill, and do the same on 
the other one. Now cut them like the other two. Once that's done, you'll want 
to remove all 4 aneurysms one right after the other, drain all 4 blood pools, 
and connect all 4 blood vessels. However, the time limit on this can be a bit 
strict, so if you want, you can choose to remove only two aneurysms, drain 
and reconnect those two, then do the same with the other two afterwards. This 
is much easier to do, has less risk of making a mistake, and works just as 
well. It's your choice.

To get COOLs on the blood vessel suturing, make sure that you make lines much
wider than the blood vessel. Check the video to see what I mean. To me, the
biggest danger in this operation is the anastomosis. If your hand slips a 
little, you'll get a miss and forfeit the entire operation. Therefore, it's 
not a bad idea to take things slow. Remember to relax. I know it's not as easy
thing to do, but if you're nervous the chances of your hand trembling are much
higher. When dealing with these aneurysms, my recommendation is to drain the 
blood with the A button, then, KEEP THE A BUTTON PRESSED, and switch to the 
forceps. Now grab the aneurysms simply by pressing and letting go of the B 
button. It is not actually necessary to do it as if you were using real 
forceps. There is no need to press and let go of both the A and B buttons. By 
keeping the A button pressed and only pressing and letting go of the B button,
you are afforded a much higher degree of control on the wiimote.

You shouldn't have to worry too much about the final suture and bandage if you
got COOLs on all of the blood vessels. Raise vitals to max and finish up.

For my 2.4 XS video go to:

http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part11

------------------------------------------------------------------------------

2.6 - Just Let Me Die

Special Bonus

-Max chain over 20 - 600
-Less than 1 hemorrages - 200
-Wound did not reopen - 200
-7 COOLs earned - 1000

This operation is really short, and may seem really easy. But once you do it
you'll see it's actually not quite as easy as it might seem. The main problem
in this operation is that Angie, like ALWAYS, is trying to make things harder 
for you. Don't listen to that bitch. Listen to me instead.

First of all, when the operation starts, ignore Angie telling you there isn't
much time. You have plenty of time. In fact, there is no time special bonus in
this operation. Before you perform the lobectomy, take the time to use the 
stabilizer and raise Linda's vitals to max. That's 65. Once that's done, go
inside her.

There will be 4 normal lacerations and 2 big ones. Angie will tell you to 
treat the big ones first, but the trick of this operation is that if you do 
that, you will not get the XS. Angie is only trying to keep you from becoming 
a good surgeon, like always. So what we'll do here is ignore her and instead 
first treat the normal lacerations. It's crucial that you get COOLs in all of 
them. You've done this before so it shouldn't be a problem. Remember, lots of 
passes that are much wider than the laceration.

Now, after that's done, we're going to move on to the big lacerations. The
reason we left them alone is because we want them to accumulate more blood 
pools. You want to have to drain more blood pools to push yourself over chain 
20 and get the special bonus. If you treat the large lacerations immediately, 
they will not have as much blood on them, and your max chain will only go up 
to 19. In any case, first drain the blood on the bottom one, use the forceps 
to bring the opening together. Now, you want to get a COOL on each of these, 
but they are a little bit different than the normal lacerations. The trick to 
getting a COOL on these big lacerations is many MANY passes along the ENTIRE 
length of the laceration. The passes should be wider than it but not by much. 
Check the video to see what I mean.

Before you move on to the other big laceration, make absolutely sure that it 
has accumulated an extra set of blood pools. If it hasn't, WAIT. Stall for 
time by injecting stabilizer or whatever you want. Don't start working on it 
until that second set of blood pools has formed.

Once that's done it'll be time to finish up. You want to get COOLs on the 
final suture and the bandage as well. If you got COOLs on every single thing 
you did, you will most definitely get the XS. However, you can actually get a 
single GOOD in something and still manage to get the XS, so don't lose heart 
if you get a GOOD somewhere. My recommendation, though, is to get COOLs in 
all of the sutures, because from my experience it's very easy to botch the 
final bandage.

For my 2.6 XS video go to:

http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part12

------------------------------------------------------------------------------

2.9 - Please Let Me Live

Special Bonus

-Max chain over 50 - 500
-Completed with 180 left - 500
-Wound did not reopen - 300
-No mistakes - 700

Yay, the first GUILT! This operation is actually not that hard to XS because
the lacerations caused by the Kyriaki give you a lot of points and 
opportunities for COOLs. 

When the operation starts, I recommend you start pumping stabilizer into Linda
until her vitals have reached 99. Only after she's at max should you make the
lobectomy. Once you're inside, my recommendation is to first suture all the 
small lacerations except one. Then start working on the big ones. This is 
pretty much the only part where you can feasibly get a miss, by your hand 
slipping when bringing both sides of the big lacerations together. You can 
take it slow here if you want, though the operation just started so restarting
isn't too big of a deal. Take care of the big lacerations in the same way that
you did on the last operation. Getting COOLs in this operation is actually not
as important as in the last. You can get away with a bunch of GOODs and still 
get the XS. That being said, COOLs don't hurt, so try to get them anyway.

Once the big lacerations are taken care of, don't suture the one small 
laceration you left just yet. Take the time to pump vitals back up to max. 
We're going to treat Kyriaki without raising vitals much throughout the 
operation, so it's a good idea to start at max. Once you suture that wound, 
Kyriaki will appear. It will create a single laceration. Ignore what Angie 
says and suture that wound before you start looking for it. When that's done, 
switch to the ultrasound and begin using it. Try to concentrate most of your 
ultrasounds around the center of the lung unless you've gone 2-3 ultrasounds 
without finding anything. Usually you'll be able to make the Kyriaki appear 
by spamming it near the center though.

As soon as you can see the Kyriaki, immediately switch to the scalpel and make
an incision on him, then very quickly change to the laser and burn it. It's 
weak so it won't require much to kill it. You'll want to immediately switch to
the sutures and take care of the laceration it made, then switch to the gel 
and treat the wound caused by your incision. Then, switch to the sutures and 
keep them as a pre-emptive measure for the laceration the next wave of Kyriaki
will make. All this should be done as the original one is dying and before 
the next ones appear.

The next wave will be two Kyriaki. They will make a laceration each. If you're
very fast, you can suture the laceration caused by the first one before the
second one is made like in the video. However this is very hard to do because
your "assistant" will start talking almost immediately after the first 
laceration is made and keep you from using your tools. Don't worry though, if 
you can't suture the first one like that, simply wait until you can use your 
tools again and suture both of them right after the other. Now, there are two 
Kyriaki running around in the lung. What we want to do here is find one with 
the ultrasound, cut it out, then find the other and cut that one out as well 
while the first one is running around out in the open. Then, when both of 
them are outside at the same time, use the laser to incinerate them both one 
right after the other. After that's done, very quickly suture the lacerations 
made by them and gel the two wounds you just caused with the scalpel. 

As soon as you do this, the boss Kyriaki will appear and create his trademark 
triple laceration pattern. Take care of these before you start looking for 
him. Remember to make many passes to get the COOLs. Now, unlike the little 
ones, the boss Kyriaki has 3 HP. So we'll be repeating the procedure on him 
thrice. When the wounds have been treated, start spamming the ultrasound near 
the center. He's big so he should be easy to spot. Cut him up with the scalpel
and then laser him. He requires VERY little lasering before he burrows back 
inside the lung, so don't bother keeping the laser on him for very long. Just 
a few microseconds is fine. As he's burrowing, immediately switch to the 
sutures, treat the lacerations and the wound you made with the gel. Then 
switch back to the ultrasound and repeat the exact same procedure two more 
times until you've defeated him.

Now you can finish up. Don't worry so much about the final suture and bandage
since it's very easy to get the XS even if you get GOODs on them if you got
enough points on the operation itself. Besides, the suture is ridiculously
lenient on what it accepts as a COOL. Just look at the video.
Your vitals should be around 30 or so at this point, so grab the syringe and
raise them to 99 before applying the bandage. After that you're done.

For my 2.9 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part13

------------------------------------------------------------------------------

2.11 - For the Greater Good

Special Bonus

-Max chain over 16 - 500
-Fibrillation occured less than 3 times - 700
-Completed with 240 left - 400
-No mistakes - 400

We're not going to worry about vitals at all throughout this operation until 
the very end. Get inside the patient. On her heart there will be another 
scalpel line so spread gel over it. As soon as you do this and switch to your 
scalpel, she'll start going into ventrical fibrillation. There will be a pause
of a few seconds while she's fibrillating. Don't use any of your tools at 
this point, and instead use this pause to prepare for the incoming heart 
resuscitation. What I recommend you do here is to bring back both of your arms
so that your hands are touching your torso. This gives you the greatest amount
of distance covered when you move your arms forward without having to move the
rest of your body so that the sensor bar can register the movement.

Try to get her resuscitatated in as few uses as possible but don't worry too 
much as it's not all that important in this operation. Once that's done, we're
going to open up her heart. Here you'll see the valve. First drain the blood, 
then the scalpel lines will appear. We're going to make all three cuts in one 
single motion. Start near the top and move counterclockwise. When you get to 
the last dot, a new line will appear, but the dots start exactly where your 
scalpel should be, so don't stop and continue going counterclockwise. After 
you cut the last dot in that, a final completely circular scalpel line will 
appear. Don't ever let go of the button, simply continue going 
counterclockwise for one last pass. Remember not to rush. You want to get 
every dot without having to go back. You want to be constantly moving forward.
It's not a big deal if you have to go back if you're fast enough, but my 
recommendation is to make a slow calculated path around the valve like in the 
video so you don't have to.

Now very quickly switch to your forceps, grab the valve and put it in the 
tray. Now STOP. Don't do anything. There's a very high chance the patient will
go into fibrillation again at this point. Just sit tight for a few seconds and
wait for it. Use the defibrillator in the same way you did the last time. 
There's actually a very small chance that the irregular heart beats are only 
a false alarm and the patient will stabilize on her own. If this happens just 
continue the operation as normal. The chances are too low to bank on though, 
so it's better to expect that fibrillation.

Now, that should be the last time you use the defibrillator here. You'll want 
to finish the operation before the heart gets a chance to stop beating again. 
Veryquickly switch to your forceps and grab the new synthethic valve. We're 
going to place it where the old one was. But be extremely careful here. You 
need to place it exactly in the hole in the center. If you're off by even a 
little, you'll get a miss and forfeit the entire operation. It's true that 
you need to be fast before the heart starts causing problems again, but you 
have enough time that you can take it relatively slow and make sure the valve 
is placed correctly before letting go of the forceps. Now we're going to 
suture the valve in place and then suture the heart. These two sutures are 
new so you might not know how to get COOLs on them. For the valve, I recommend
relatively narrow passes from left to right. Start at the left side of the 
valve and finish on the right side. Don't go over too much. For the heart, 
the opening is ridiculously big, but to get the COOL here, you want to 
actually make VERY narrow passes throughout the length of the opening. They 
should be much narrower than it. In any case, check the video to see what I'm 
talking about. Getting COOLs here isn't actually necessary for the XS, so if 
you don't feel like bothering or if you took too much time placing the new 
valve, you can go ahead and suture very quickly and not worry if you get 
GOODs.

When that's done, it'll be time to finish up. Make the final suture. Now it's 
time to raise vitals to max. Start pumping stabilizer into her before gelling.
Her vitals are so low that your syringe will not hold out up to 99. When you 
see it start to get red, switch to the gel and start applying it over the 
bandage area. By the time you're done with this the syringe should have 
recovered a little. Enough to get vitals to max, at least, so switch back to 
it and inject a couple more times. This works well because by this time the 
gel has disappeared so you have a complete view of the area and can more 
easily get the COOL here.

For my 2.11 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part14

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Z.2 - Miracle

Special Bonus

-Tumors did not regenerate - 600
-Max chain over 100 - 400
-No mistakes - 600
-Completed with 180 left - 400

The trick to XSing this operation is to realize that if you work TOO well, you
won't give the tumors a chance to cause enough damage to get your chain over 
100. So what you want to do is stall for a little bit so that just a few more 
tumors form than is necessary. We'll do this on the first tumor since you can 
be more in control during that.

Open up the patient. There will be a single tumor in the center. There is no 
need to use the magnification tool this time. This tumor will be treated 
differently than the others so far. What you're going to do first is drain it.
Once that's done you'll use the scalpel to sever the three veins it's 
connected to. To do this, keep the cursor near the center of each vein and 
keep the button pressed until you cut it off. There is no need to make any 
motions. Once you've severed
all three veins, STOP for a second. This is where we're going to stall so that
the tumor can create a few more tiny tumors in the interest of getting our max
chain past 100. Switch to the syringe and raise vitals while you wait. Right
after you've severed the 3 veins, 3 small tumors should have formed. What you
want to do is stall until an extra 2 have formed. Once they do, quickly switch
to the forceps and remove the big tumor. Now, use the laser to burn off the 
small tumors. Sometimes this will cause a blood pool to form. This is to your 
advantage because it means you can get that chain up a little higher. Gel the 
holes, and switch back to your drain.

Two large tumors will appear. We're not going to stall anymore from here on 
out, so treat them as quickly as you can. Use the drain on one right after the
other, then switch to the scalpel and start severing the veins on the FIRST 
one you drained, then move on to the one you drained second. After both of 
their veins have been cut, pick them up with the forceps and put them on the 
tray. They should have formed many tiny tumors so take care of them the same 
way you did the others. However, this time, leave one hole alone and take the 
time to raise vitals to at least 40 just to stay safe. It should only take 
about a single injection. Once the patient is at 40, gel the last hole.

At this point 4 large tumors will appear. Don't worry about it because Naomi 
will automatically activate her Healing Touch. Now you can relax because 
Naomi's Healing Touch is absolutely ridiculous. Drain all 4 tumors right after
the other, then scalpel all the veins right after the other. Again, don't 
worry much about how you do it or how long you take, or even about vitals. 
The Healing Touch will take care of all that. Treat the tumors the same way, 
and then remove them all quickly. Once that's done finish up by treating the 
tiny tumors. When you're done the patients vitals should have automatically 
been raised to 99 by the Healing Touch. Simply finish up without raising 
vitals and remember to be careful and not break your chain by getting a BAD.

For my 2.11 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part15

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3.2 - GUILT

Special Bonus

-Max chain over 50 - 1000
-Completed with 180 left - 500
-No mistakes - 500

You'll be fighting Kyriaki here again. The operation is conducted exactly the
same way as before, so you shouldn't have too many problems. The one possible
problem you can have is not being able to hit the 50 chain required for the 
XS. To do this, you'll want to stall a bit at the start so that the huge 
lacerations develop additional blood pools for you. After getting inside the 
patient, you'll want to treat all of the small lacerations first except for 
one. Then stall by injecting a bit of stabilizer until you see additional 
blood pools form on the big lacerations. This is your cue to get to work on 
treating them.

The only difference between this operation is that the organ is a little 
bigger, but this changes nothing. Other than that, the Kyriak will tend to 
make lacerations in directions that might make it difficult for you to suture 
and get cools. Don't worry too much though, because it's not the end of the 
world if you get a few GOODs here and there. You can still get the XS anyway.

Try to concentrate most of your ultrasounds around the center of
the organ unless you've gone 2-3 ultrasounds without finding anything. Usually
you'll be able to make the Kyriaki appear by spamming it near the center 
though.

As soon as you can see the Kyriaki, immediately switch to the scalpel and make
an incision on him, then very quickly change to the laser and burn it. It's 
weak so it won't require much to kill it. You'll want to immediately switch to
the sutures and take care of the laceration it made, then switch to the gel 
and treat the wound caused by your incision. Then, switch to the sutures and 
keep them as a pre-emptive measure for the laceration the next wave of Kyriaki
will make. All this should be done as the original one is dying and before 
the next ones appear.

The next wave will be two Kyriaki. They will make a laceration each. But 
before they do, there's a very small window which you can use to inject a bit 
of  stabilizer if you managed to take care of the lacerations and incision 
wounds very quickly. Once the two Kyriaki appear, take care of both 
lacerations quickly. Now what we want to do here is find one with the 
ultrasound, cut it out, then find the other and cut that one out as well 
while the first one is running around out in the open. Then, when both of 
them are outside at the same time, use the laser to incinerate them both one 
right after the other. After that's done, very quickly suture the lacerations 
made by them and gel the two wounds you just caused with the scalpel. If you 
do this very fast, there will be a VERY tiny window of opportunity to inject 
a bit of stabilizer before the  boss Kyriaki appears. The window is really 
small though so if you don't feel like injecting, it's not a big deal. Just 
have your sutures ready instead.

After both little ones the boss Kyriaki will appear and create his trademark 
triple laceration pattern. Take care of these before you start looking for 
him. Remember to make many passes to get the COOLs. Now, unlike the little 
ones, the boss Kyriaki has 3 HP. So we'll be repeating the procedure on him 
thrice. When the wounds have been treated, start spamming the ultrasound near 
the center. He's big so he should be easy to spot. Cut him up with the scalpel
and then laser him. He requires VERY little lasering before he burrows back 
inside the organ, so don't bother keeping the laser on him for very long. Just
a few microseconds is fine. As he's burrowing, immediately switch to the 
sutures, treat the lacerations and the wound you made with the gel. Then 
switch back to the ultrasound and repeat the exact same procedure two more 
times until you've defeated him.

Now it's time to finish up. Vitals are probably ridiculously low at this 
point, so what we're going to do is start pumping stabilizer before making 
the final suture. Keep using the syringe until you see the first signs of it 
getting red, then make the suture. Make sure not to get a BAD because it will 
break your chain. Then apply gel over the bandage area, and then switch back 
to the syringe which should have recovered enough by now, and raise vitals up 
until max. Then simply apply the bandage making sure you don't get a BAD, and 
you're done.

For my 3.2 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part16

------------------------------------------------------------------------------

3.4 - Something Precious

Special Bonus

-Max chain over 60 - 800
-Completed with 150 left - 500
-No mistakes - 700

Alright, we're on to the second strain of GUILT. We're going to eliminate 
Deftera in two phases, first in the stomach, and then in the lung. That means 
that in the middle of the operation you'll have to perform a closing suture 
and bandage.

The biggest problem with XSing this operation is getting the max chain of 60. 
If you work too efficiently and get too lucky (or unlucky depending on how you
see it), you will kill Deftera without it causing enough damage to get your 
chain past 60. There's a very slight element of luck here in that sometimes 
Deftera will cause huge amounts of tumors and take forever to become 
vulnerable, while other times it will become vulnerable without making hardly 
any tumors. Don't worry though because you can always XS this even if you're 
very unlucky by taking the right measures.

Now then, when you start, make the lobectomy and go inside Amy. Don't raise
vitals before you're inside. Once you are, we're going to stall for a bit and 
let the big tumors there create a few more tiny tumors to kickstart your 
chain. So bust out your syringe and start raising vitals. Because of the 
tumors, vitals will hardly go up at all. But don't worry about that. Keep 
injecting the stabilizer until the syringe can take no more and becomes 
unusable. When that happens, it's time to get to work on the tumors. They 
should have created a few extra tiny ones by now, so switch to your laser and 
burn them all. Once that's done, switch back to the syringe which should be 
usable again, and raise vitals while you wait for Deftera to make its 
appearance.

Now the Deftera type A and type B are going to run around for a while and 
create tumors every now and then. Keep your laser on hand and burn them off 
immediately when they appear. Try not to give them a chance to create tiny 
ones in this phase or to stick around for too long since it hurts Amy's 
vitals. After a little while (or a long while depending on your luck), the 
Deftera type A and type B will meet and begin eating each other. Now before 
you do anything, make sure that you've burned off any tumors that may have 
been created. Switch to your drain and keep it steady over the colliding 
Deftera. Keep the button pressed. You should do it fast enough that it takes 
a while for the drain to start working. Like I said, don't drain the Deftera 
if there are still tumors around. This will cause the drainage to fail and it 
will just be wasted time. 

You'll need to drain the Deftera 3 times, so repeat the same procedure twice
again. When you drain for the third time, quickly change to your scalpel. 
Circular scalpel lines will appear that will allow you to excise the Deftera.
It gives you a little bit of time to get ready before the lines appear, so 
what I'd recommend is to start moving the scalpel where you THINK the lines 
will appear before they do so that you waste no time, and also so you're 
already comfortably making the right motion. Don't cut too fast because you 
want to get every dot on the first pass. If you do this fast enough the 
Deftera will only get
a chance to create a single tumor. Burn this tumor off before you grab the
Deftera with the forceps and place it on the tray. Then simply apply the 
synthetic membrane and gel over it. That'll be it for the stomach. You'll now
have to close up the opening and put a bandage. Be very careful here though.
You must make absolutely sure that you get at least a GOOD on the suture and 
the bandage, otherwise your chain will break and you will not get the XS. 
Raise vitals to 99 before applying the bandage.

Now we're going to move up to Amy's right lung. Perform the lobectomy and get
inside. Here there will be two Deftera. That's 2 type A's and 2 type B's. The
procedure is basically the same as the last one, except, obviously, there's
going to be double the amount of tumors that you have to laser off, and her
vitals will drop much quicker because when two of the same type meet they 
cause a nice bit of damage. Basically what you want to do here is, while the 
Deftera are moving around, burn off any tumors that get created immediately, 
and in between this, when there are no tumors present, be injecting 
stabilizer. The window of opportunity when there are no tumors present is 
very small so you'll have to be fast with that syringe. The main thing 
here is that you should ALWAYS be: either burning off tumors, or injecting 
stabilizer. Never catch yourself doing nothing unless vitals are at 99. 
Since there are two Deftera, there is a chance that while you're draining 
one, the other creates tumors which can screw you up. But don't despair. 
Simply continue taking care of the tumors and wait for your chance when both 
pairs of types are eating each other.

After a while, a type A and type B should meet. When this happens, the chances
of the other pair meeting are very, very high. So what you want to do is drain
both of them one right after the other. But first make absolutely sure that
there are no tumors present, otherwise it won't work. Do this two more times, 
but on the third drain, don't drain the second pair. Instead switch to the 
scalpel and excise the first Deftera like you did back in the stomach. Remove 
it, apply the synthetic membrane, and gel. By this time the other pair has 
probably separated and started moving again. This is fine. Keep working like 
you've been and take a look at your chain. If it's close to 60, go ahead and 
defeat the  remaining Deftera. If it's not not close to 60, it's a good idea 
to let it run amok for a while creating tumors to get your chain up.

In any case, once you've killed both Deftera it'll be time to close Amy up for
good. Vitals are probably quite low at this point so raise them to 99 like you
always do. Make the final suture and bandage and make sure you get at least 
GOOD on them.

For my 3.4 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part17

------------------------------------------------------------------------------

3.6 - An Explosive Patient

Special Bonus

-No Healing Touch - 1000
-Core reached faster than 80 - 700
-Did not approach MISS limit - 300

Alright, now we're talkin'! This is probably the first very difficult 
operation. You're probably going to require a few tries to XS this one, and 
the first two phases are probably impossible to get through on your first 
try unless you're very lucky. Don't worry though, once you know exactly what 
to do, those two phases will be the least of your problems.

We're going to start by unscrewing the lid. There are four screws which you 
are going to unscrew with your scalpel. The problem is you don't know which 
ones to unscrew to the right and which ones to the left. Well except you do 
because I'm telling you. If you take a good look near the bottom right of the 
lid, some dumb person scratched the direction towards which you have to 
unscrew. So we're going to use this. When the operation starts, I recommend 
not hitting the skip button immediately. This way the time limit won't go 
down while you're checking the scratch marks. Once you're sure of which way 
you're going to unscrew each of them, hit that skip button. The way you want 
to do this is to unscrew every bolt completely with a single twist of your 
wrist. To do this, switch to your scalpel and before you press the button, 
prepare yourself by twisting your wrist, arm, and even a little bit of your 
body towards the OPPOSITE direction which you're  going to unscrew the bolt 
in. Then, once you're completely twisted in this direction as much as you can,
put the cursor over the bolt, press the button, and twist yourself completely 
in the opposite direction. This should make the bolt go out in a single 
motion. I like to start with the upper left one. Once you've unscrewed that 
one, your wrist, arm, and body should be twisted completely in the right 
direction. STAY like this, move the cursor over to the bolt on the top right, 
and press the button. Because you're already twisted all the way in the
right direction, you don't need to prep your body. Simply twist yourself
completely in the other direction. Then, again, stay in this position, and 
move the cursor to the bolt on the bottom right. You're already prepped for 
this one too, so hit the button and twist yourself again. Now move to the 
last bolt and do the same thing you've been doing. By doing this you'll be 
able to unscrew all of the bolts very fast. If you're sitting on a revolving 
chair (which you should be because they're awesome), you can give yourself 
an added boost by rotating to the right when you're twisting to the left and 
bringing your arm up above your head, and rotating to the left when you're 
twisting to the left and bringing your elbow up as much as you can to the 
left. This is, of course, only if you're using the wiimote on your right 
hand. If you're not, just switch the directions.
You should finish this phase in under 10 seconds this way. One final
recommendation here is to not twist TOO fast, or the sensor bar will not
register the motion.

Once the lid's off, we'll move on to the second phase. This one is almost
impossible if you don't know exactly what to do, but if you do, it's the 
easiest one. Here, you'll first grab the left plug with the forceps and place 
it on the top spot on the left side. Bring your arm back to get it off the 
slot and then move forward while keeping the cursor in the general vicinity 
of where you want to stick the plug. Don't worry if you move the cursor a 
lot, this makes no difference. The only thing you have to worry about is to 
NOT let go of the forceps until the plug has gone inside the slot completely. 
Now grab the plug on the right side and stick it in the third hole from the 
top on the right side. That's all you have to do here and you're done with 
this phase. You should only take about 5 seconds to complete this one.

Now the next phase is a bit hard. You're going to have to destroy every one of
those panels with your laser, but if you touch the red panels the bomb will go
off in your face. My recommendation here is to grab your wiimote, and hold 
your thumb very firmly above and slightly to the left of the A button, and 
use the B button to activate the laser. This gives you much greater control 
over the laser.
First of all, don't worry so much about the time because you have plenty. It's
more important to make sure you don't hit any red panels. This isn't all that
easy to do but there's a trick to the way the red panels move and it's this:
1) When a red panel moves, it will ALWAYS move to a panel adjacent to it. This
means that you can laser panels that have no adjacent red ones without fear of
it suddenly becoming red. 2) The red panels will ALWAYS stay where they are 
for a few seconds right after they move. This means that you are free to laser
panels adjacent to red ones immediately after you have seen the red ones 
change places. If it's been a while since the red panels have moved, and you 
want to laser one adjacent to them, it's better to play it safe and just wait 
it out until they move so you're sure you won't get a miss. Also be careful 
to always hit a panel with the laser, and not an empty space. Don't worry so 
much about this though because you can actually get a miss from hitting an 
empty space and still get the XS. Now, I said not to rush because you have 
plenty of time, and you do if you followed my cool tips in the previous 
phases, but you must make absolutely sure that you destroy all of the panels 
before the time reaches 3:40. Otherwise you will not get the XS.

Once all the panels are gone, you'll be in the final phase. Here, the time 
limit will immediately get reduced to 30. To finish this operation, you'll 
have to laser the bomb's core. But 3 rings of panels will start moving around 
it to protect it. If your laser so much as touches one of these rings, the 
bomb will explode in your face and you'll lose the mission. Now here I want 
you to take things VERY slowly. There is no time bonus here that you have to 
hit. You can use as much of those 30 seconds as you wish and still get the 
XS. So your prime concern here should be to make sure that your laser doesn't 
touch those rings. What I recommend here is to not concentrate on any one of 
the rings. Set your gaze at the center of the screen and instead gauge the 
rings' movement with your peripheral vision. The human peripheral vision is 
bad at distinguishing color and shape, but it happens to be good at detecting 
motion. This is a feature that evolved to avoid predators. You probably won't 
be avoiding predators any time soon, but this ability WILL instead help you 
to avoid those rings around the core. What you want to do is play it 
completely safe and laser the core in very small increments. As soon as you 
perceive a ring about to get close to the center of your vision, let go of 
the button, and wait patiently for your next opening. You should burn the 
core little by little in this way until the mission is finished. As a final 
aside, you may have to retry this operation several times to train your 
peripheral vision to more effectively detect the rings' movement. Don't worry 
about it. You will get it eventually. As a post-final aside, I need
not remind you that alcohol and several other drugs cause tunnel vision. It's
probably a good idea to stay clean while attempting this operation and playing
the game in general. You might also have trouble if you try this mission when
you're tired or need sleep, so if this is the case and you can't seem to XS 
it, it might be a good idea to take a break and get some sleep.

For my 3.6 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part18

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3.8 - Caduceus on a Plane

Special Bonus

-No mistakes - 1000
-Operation complete before 5 jolts - 500
-Inflammation remained below 3 - 300
-Completed with 210 left - 200

After the hard bomb mission you get a slight breather with this operation 
which isn't quite as hard. It still might present a few problems though.
We're operating on a plane here so there's gonna be turbulence every now and
then. When there is, you can't do ANYTHING or it will result in a miss. That's
right, nothing. Not even things that have nothing to do with the patient like
filling up the syringe. Or even trying to activate the Healing Touch. Every
turbulence will be telegraphed ahead of time, and when these signals start, 
you have a few seconds before the big jolts start.

Anyway, get inside the patient. We're going to be looking for places where
fluids are concentrated and make incisions with the scalpel, drain the fluid, 
and repair the incision area with the gel. You can find these spots with the
ultrasound, but to get COOLs on them you'll have to make the incision without 
its help. Considering the locations are random, trying to find the spots by 
randomly picking with the scalpel is too difficult. The good news is that you 
can get nothing but GOODs throughout the entire operation and still get the 
XS. So we're going to be using the ultrasound.

First of all, I recommend that you don't use the Healing Touch, since all of 
the spots don't spawn on the lung immediately. They actually get added after 
each jolt. So if you use the Healing Touch and find all of the spots in the 
lung quickly, you may be stuck with nothing to do for a long time while 
waiting for the turbulence.

Basically, what we want to do is find and treat 3 spots before each 
turbulence. Obviously this isn't always possible. It depends on how quickly 
you can find each one. You need a tiny bit of luck so that your ultrasounds 
find the spots quickly. Not too much though. The ideal situation is this: 
you quickly find and treat all 3 spots before the turbulence starts, and you 
use the time you have before it actually starts to inject stabilizer. Like I 
said, this isn't always possible, but don't worry. Even if you only find two 
of them just keep going. There are 13 that you have to take care of in all, 
and you have to treat them before the 5th jolt to get the XS. This means that 
you'll be working in 5 rounds. Therefore, you can get away with only finding 
2 spots on 2 of the rounds.

Unlike in most other operations, here you'll want to treat each fluid
accumulation completely before moving on to the next one. The reason being 
that the patient's vitals drop too quickly when the incision holes are left 
open, especially during turbulence.

In fact, vitals will drop very quickly throughout the entire operation as you
make your incisions. As I said before, the ideal situation is that you find 
and treat 3 spots quickly and use the remaining time to raise vitals. However,
if after finding 2 spots you use the ultrasound 2-3 times and seem to be 
unable to find the third one, I'd recommend giving it up for that round and 
just raising vitals before the jolt. Of course, once vitals are critical, 
raise them a little no matter what.

You must make sure that you've finished before the 5th jolt. Otherwise you 
will not get the XS. If you do this, you'll be finished with the lung before 
the time limit, but it's very likely that it'll be very close, so make sure 
that you look at the time when you're closing up the patient. You need to be 
done before it goes below 3:30. It's also possible that the patient's vitals 
are very low at this point. Your priority is hitting that time bonus, so if 
you see that the time is about to go below 3:30, forget about raising vitals 
and just end the operation. Generally speaking, the lowest you'll want to go 
is 3:35 before going for the bandage. So if the time is above this, raise 
vitals as much as you can until it reaches this point. If you can't raise 
vitals at all, don't worry, as you could still get the XS even if the 
patient's vitals are very low. You could also activate the Healing Touch when 
you're closing up so that you have plenty of time to max vitals. It's up to 
you.

As an aside, notice how Angie gets mad when the people in the plane applaud 
you for saving the patient. What a bitch. Just further proof of my theory 
that she doesn't want you to succeed.

For my 3.8 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part19

------------------------------------------------------------------------------

3.10 - Pandora's Box

Special Bonus

-No Healing Touch - 1000
-Less than 2 membranes multiplied - 500
-Completed with 210 left - 300
-No mistakes - 200

Ahhh, Triti. This operation is an absolute nightmare when you first get to it.
It is potentially the hardest operation in the entire game because it's very
difficult to figure out exactly how Triti works.

This is further exacerbated by the fact that the explanation Angie gives you 
is an outright, blatant lie. Probably because she secretly wants you to fail 
and wants the patient to die. What a bitch. I wish I could hate her to death. 
But don't worry, I've got your back. So just ignore all of her malicious lies.

First of all I'm going to explain to you the way Triti works. But know that it
can be a bit difficult to understand at first. This explanation will help you,
but I recommend that you also get in there and actually see for yourself. It
might take a while, but I guarantee that it will eventually become clear to 
you.

Triti is made up of two parts: membranes and thorns. What you want to do is
remove all of the membranes from the pancreas. However, each membrane is 
embedded into the organ by three thorns in each corner. To remove a membrane, 
first you must remove all of the thorns surrounding it. The thorns also 
regenerate after a few seconds.

The big problem, of course, is the way the membranes multiply. First of all,
notice that membranes only multiply based on what you do. Notice that if you
don't do anything, they will never multiply. This means that, while speed is
still important, it's also important to know what you are doing. 

Notice that membranes can only multiply when you remove one with the forceps.
Simply removing thorns does not allow them to. Now, the trick to Triti's
nightmarish multiplication is simply this: if there are two thorns adjacent
to each other, and there is a free space next to them, a new membrane will
appear there when you remove a membrane on any part of the organ. Therefore,
the trick lies in looking at the thorns. What you want to do is only remove
membranes when there are no adjacent thorns currently present. The exception 
is when there is no free space where two adjacent thorns can create a new 
membrane. This is either because there is already a membrane there, or 
because it's the edge of the organ and there is no actual room for a membrane 
to appear.

You're going to be using your forceps almost exclusively here. I recommend 
that you grab the wiimote in a specific way here: place your thumb over the A 
button and grip the remote firmly with it. That's right, you're going to have 
the A button constantly pressed throughout this operation. Never let go of it 
until you're done. If you have the A button pressed, then you can simply use 
the B button to grab and let go of things with the forceps. There is no need 
to press and let go of both buttons. Using a single button affords much 
greater control over the remote. When pulling thorns in general, remember 
that they are embedded in the organ. You want to pull UPWARDS when grabbing 
them before placing them on the tray. If you simply pull to the right, you 
will get a miss and forfeit the entire operation. This is important, so 
always remember to pull in an upward motion.

Now what follows is the way to XS this specific operation. Understanding Triti
and the meaning behind what you're going to do is good, but if you follow 
these directions you can XS the operation without having to understand it:

When you're inside the patient, hit the skip button, switch to your forceps 
and wait until Angie and Miller are done talking. Once they are, you're going 
to  very quickly remove 9 thorns. Starting from the bottom right, you're going
to remove all of the thorns EXCEPT for the 3 on the top left. When you've 
removed the ninth one, quickly go back to the bottom where you first started 
and begin removing all of the membranes. That's 5 membranes: the 3 on the 
bottom and the two in the middle. It's absolutely crucial that your remove 
the membranes quickly and in the same order that you first removed the 
thorns. If you do this correctly, NO membranes will multiply. There will now 
be only 3 of them left at the top. As soon as you remove the last of these 5 
membranes, very quickly remove the single leftmost thorn of the 3 you 
originally left alone, then remove the membrane beneath it. Now there should 
be only 2 membranes left and zero new ones have been created. At this point, 
stop for a little. I want you to wait until the 4 thorns surrounding those 
two membranes have all regenerated. Use the time to inject stabilizer if you 
want. Then, when you see all 4 thorns there, very quickly remove ALL of them,
then remove both membranes one right after the other. One of the thorns will 
probably turn into gas. IGNORE this gas until after you've removed both 
membranes. Then simply drain it. You can still drain the gas before removing 
the membranes if you're fast, but it's really better to just leave it until 
you're done.

Now just close up the patient and that'll be it. Check my video to see the
demonstration of the directions I just gave you.

For my 3.10 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part20

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Z.3 - Pursuit

Special Bonus

-Flash used 1 times or less - 800
-Max chain over 35 - 400
-No mistakes - 300
-Completed with 200 left - 500

This operation is going to be conducted in 3 phases. You're going treat some
wounds with limited information of where they are, so it's important that you
first try this operation many times to familarize yourself with the layout of
the patient, where exactly each wound is located, etc. In short, you should
memorize the general location of each wound. COOLs aren't that important, but
what is crucial is that you never get a BAD. This will break your chain and 
keep you from getting the XS.

For the first phase, no memorization is necessary. First, grab the penlight
and shine it on the right side of the patient where the lacerations are.
If you don't do this you will not get access to your tools. Quickly suture 
these three lacerations. Once that's done, grab the penlight again and move 
it to the bottom part where a huge laceration should be waiting for you. 
Drain the blood, close it up, and suture. Getting COOLs isn't so important 
in this operation, but remember to make many wide passes through the entire 
length of the laceration. Now grab the light again and move to the center 
where a single glass shard is. Place the light slightly off to the right of 
the glass shard rather than dead center. This is important, so remember to do 
it. Remove the shard carefully. It's only one so it shouldn't be too hard.
Don't worry about getting the COOL. As long as you don't get a BAD in anything
there is no problem. Just make sure you do it carefully so you don't get a 
miss. Once it's pulled out, apply gel over the wound it was in, and continue 
applying it because a scalpel line will appear there. Once the incision area 
has been gelled, switch to your syringe and raise vitals all the way to 80. 
Now perform the lobectomy. You don't need to be able to see the entirety of 
the scalpel line. As long as you can see the top part, just cut in a downward 
motion and you should get it.

Now we're inside the patient. This phase will be the same as the previous one
with one exception: I want you to leave the light where it is. That's right, I
want you to work this entire phase without ever moving the light. If you left
it slightly off to the right of the glass shard in the previous phase, it 
should give you a decent view of everything you need to take care of in this 
phase. Right after making the lobectomy, watch carefully. If you placed the 
light correctly, as the screen is zooming in, you should be able to see the 
glass shard on the right. Once the screen is zoomed in completely you might 
not be able to see it anymore but it doesn't matter. That glimpse should be 
all you need to know where it is and pull it out. But what we're going to do 
first is suture the 3 lacerations on the left, because those are the ones 
that drain vitals the most. So keep the location of that glass shard in the 
back of your mind for now. You should be able to clearly see two of the 
lacerations on the left. Suture them quickly. Now the third one isn't visible 
to you, but it's right above the leftmost one of the two you just sutured. 
It's a horizontal laceration, so make
the suture lines accordingly. It helps if you've seen its position beforehand
in another retry. Don't worry if you can't suture it immediately. Just keep
trying. There is no penalty for missing sutures, after all. Once that's done,
we'll move on to the huge laceration. You should be able to see the leftmost
end of it. This is enough. Apply your drain back and forth over the length of 
it. Just judge the distance. It's not too hard to do since you've already 
treated so many of these. Now bring the two ends together, and suture it like 
you did the previous one. Again, you've sutured tons of these already, so you 
should be familar with its length by now. Don't worry if you don't get a COOL.
GOOD is fine. Now if you worked quickly, the location of the glass shard 
should still be fresh in your mind. Grab it. When you do, the shard will 
magically light up. This will make it easy to remove without getting a miss. 
Simply lift it upwards carefully. You're almost done with this phase. Switch 
to your syringe and raise vitals all the way up to 80. This is very important.
The next phase can easily kill the patient if vitals aren't at max. When 
they are, gel the wound where the shard was.

This will bring us to the final phase. Here, the light will malfunction and
plunge you into complete darkness. However, it takes about 1-2 seconds for it
to go out, and you can use this to your advantage. If you left the light where
I told you, you should be able to see 3 lacerations and a glass shard. As 
always, the lacerations are what damage the patient's vitals the most, so we 
want to deal with those first. If you can suture very fast, you can actually 
suture 2 lacerations before the penlight goes out. I recommend suturing the 
vertical ones since those are the easiest. Don't worry if you're only fast 
enough to suture 1 of them though. The few seconds before the light went out 
should have given you enough information to suture them in the dark. Do it 
quickly, and once that's done, press the camera button. It takes a little bit 
for the flash to go off. Use that time to inject stabilizer once. Then quickly
switch to the sutures and fix the small laceration on the right, then use the 
drain on the huge one, clip it together, and suture it. All this should be 
done while the flash still illuminates everything. If you want extra time on 
the big laceration, you can also gauge the small laceration's location and 
suture it in the dark before using the camera. In any case, once the big 
laceration's taken care of, all that's left is the glass shard. The 
combination of the penlight and the camera's flash should have given you a 
good idea of where it's at, so just remove it in the same way you did the 
previous shard. Gel the wound, and you're done.

Now just raise vitals to max and close up the patient.

For my Z.3 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part21

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4.2 - Race for the Cure

Special Bonus

-Max chain over 12 - 1000
-Toxins formed fewer than 3 times - 500
-Completed with 140 left - 300
-No mistakes - 200

This operation is stupidly easy. Because of that there isn't a whole lot to 
say. All you have to do is inject the serum on the underdeveloped Tetarti and 
make sure you don't get a miss. When it burrows just look around with your 
ultrasound. A good place to start looking is at the center. Once it's visible 
just cut it up with the scalpel and quickly inject it again. Don't gel the 
wound until it's burrowing again. After the third injection it'll start 
rampaging around. Just keep spreading gel over him, remember to press the 
button repeatedly rather than just holding it down. There's really nothing 
to this operation. You can probably XS it with your eyes closed.

The opening in this patient is very thin. To get the COOL in the final suture 
I'd recommend doing lots of passes through the entire length of the incision 
area but keep them relatively narrow.

For my 4.2 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part22

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4.4 - Stepping Up

Special Bonus

-Max chain over 18 - 500
-3 or fewer diverticula formed - 500
-Completed with 180 left - 400
-No mistakes - 600

Tetarti is a pretty easy GUILT in this operation. The biggest danger you're 
going to face is trying to make sure that you don't miss the bodies when 
injecting the serum. This'll cause a miss and will likely be the only thing 
that keeps you from getting the XS.

Perform the lobectomy and get inside Dr. Kasal. Angie tells you to use the 
Healing Touch but just ignore her. Like always it's not necessary and since 
you can only go as fast as Tetarti bodies appear, it will only make you have 
to wait around while the next sets appear. Besides, since when has Angie ever 
given you good advice? That's right, never.

Anyway, when you're inside you'll spot three diverticula. We're going to take
care of these as fast as possible. Inject the correct colored serum in each of
them one right after the other. After the third injection, quickly switch to 
your scalpel and excise the FIRST one you injected, then move on to excise the
second one you injected, and finally the last one. You need to do it in this 
order or else there's a high chance that the serum will wear off on the first 
one before you get a chance to work on it. In any case, quickly take all 3 of 
them to the tray right after the other. This should net you a COOL on every 
one. Apply the synthetic membranes and gel them. By now Dr. Kasal's vitals 
should be a bit on the low side. Don't worry about this, you'll have plenty 
of time to raise them. Still, if you're fast you get a chance to inject 
stabilizer once while the gel is taking effect and before the Tetarti bodies 
appear.

Now we fight Tetarti proper. Before they appear, get ready by filling up your
syringe with a serum. Doesn't matter which. Once they come out, pay attention.
Find the one which is the same color as the serum currently in your syringe.
This is going to be the first one you inject. But at the same time, pay 
attention to a second body and keep its color in the back of your mind. This 
is because this one will be the second one you inject, and since their color 
disappears after the first second, you need to know it beforehand.

Now you're going to inject the correct colored serum into each Tetarti body 
but it's imperative that you be VERY careful when doing so. They move around 
a lot and like to make sharp turns that make it very easy for you to miss. 
First of all, relax. You'll want to keep a steady hand throughout this 
operation. It's true that the Tetarti burrow back after a while if you don't 
inject them all fast enough, but you have more time than you might think so 
don't rush. Generally speaking Tetarti will make sharp turns when it hits the 
edges of the organ or one of the other bodies. Usually when it makes a sharp 
turn it will not make another one immediately unless it hits something. Use 
this to your advantage. If you notice that it has just made a turn, you can 
be pretty confident that it will keep moving forward, which makes it easier 
to inject safely. If you see that it's about to hit an edge or another one of 
the bodies, it's probably a good idea to wait a little until after he's made 
the turn just to be safe.

If you're stupid like me and forget to check the second one's color, it's a 
good idea to wait a little until the remaining bodies expel their gas so you 
can be sure that you're injecting the correct one. If you get the wrong 
color, just restart. After you've injected all 3 and as they're dying, you 
have an opportunity to inject stabilizer twice and still have time to fill 
the syringe up with serum before the next wave appears. If you do this every 
time you defeat a wave, you'll be at max vitals in no time.

In any case, that's all you need to do. Just keep doing the same thing until 
all the Tetarti have been killed. Again, being very careful never to get a 
miss.

For my 4.4 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part23

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4.6 - The First Step

Special Bonus

-Max chain over 17 - 1000
-No mistakes - 600
-Finished 10 of Victor's orders - 400

Another very easy operation. That is, if you know the trick to it. The trick 
is that to get the XS you must carry out 10 of Victor's orders, but if you 
work TOO well he will only give you 9 orders. If you follow my directions 
you shouldn't have any problem though. Especially because there is no time 
limit. Open up  Mr. Anderson and get inside.

As soon as you're in, switch to the scalpel and use it on the lung. Doesn't
really matter where. Just keep the button held down until you get the OK. Then
switch to the laser and again, keep the button down until you get the OK. It
also doesn't matter where you use it. Next, do the same thing with the gel.

Now we're going to start using the syringe. Locate the circle of Pempti cells.
I like to wait until it disappears and reappears again, that way I can inject
the blue serum and the pink one right after the other before it disappears.
When injecting, make sure that you fill the syringe up completely. Otherwise
you will have to inject more than once to get the full dosage in there.
When it reappears again, inject the yellow serum. Very quickly go for the 
white serum now, fill it up completely and inject it. However, this won't be 
enough. You'll need to fill up the syringe a second time. But before you 
inject that second round of white serum, check out Anderson's vitals. Make 
sure that they are below 70 before you inject that second time. If you did 
this correctly, Victor will tell you to raise his vitals with stabilizer. 
This is the order which you might not get if you work too well.

Next, you're going to inject the blue serum and then the yellow one. You'll 
want to inject them both before the circle disappears, so wait until it has
disappeared and reappeared once before starting so that you have enough time.
After that do the same thing but with the pink and white. You can also raise
vitals while you're waiting for the circle to reappear. Once that's done, you
just have to cut out the circle, and place it on the tray. Then finish up like
always and that'll be it for this operation. A very easy XS.

For my 4.6 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part24

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4.7 - Medical Research

Special Bonus

-Finished faster than 5 - 2500

What is it with these easy operations lately? To XS this one you need to put
the pieces of the puzzle in the correct places faster than 5 seconds. To do 
this you need to know where each piece goes ahead of time. You need to grab 
each piece and place it in its correct spot without even thinking. This isn't 
very hard to do once you've tried it a few times.

To do this quickly, remember the forceps trick: Keep the A button held down at 
ALL times, and simply press and release the B button to grab and place things.
This allows you to use the forceps much faster and with a much greater degree 
of control.

While the operation is starting, put your cursor over the piece on the top 
left and hold down the A and B buttons. This will allow you to grab it the 
very instant the hidden timer starts ticking. Place it on the top left spot. 
Then go for the top right piece and place it on the bottom left part. Next, 
pick up the bottom left piece and place it on the top right part. Finally 
place the remaining piece in the remaining spot. That's it. Easiest XS ever. 
Obviously you'll need to practice it a few times until you can do it fast 
enough but it's really not hard at all.

For my 4.7 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part25

------------------------------------------------------------------------------

4.8 - The Next Step

Special Bonus

-Max chain over 70 - 600
-No mistakes - 600
-Completed with 210 left - 800

Next up on our marathon of drop-dead easy operations. Open the poor guy up 
again.

As soon as you're in, fill up the syringe with the nanomachine and inject it
in the circle. Fill up the syringe again. But now wait until it disappears. 
Once it reappears again, inject it a second time. It will create tumors on 
the upper part of the lung. But ignore those for now and instead inject the 
circle a third time before it has a chance to disappear. It will create a 
second set of tumors. Now you can quickly switch to your laser and start 
burning them off. Don't worry about causing damage to the lung with the laser.
You can hold the button down and just burn those tumors off as fast as you 
can. Gel up the holes. Now start burning the Pempti core with the laser. 
After a couple second you will get the OK. However, it will simply extend the 
gelatinous fluid back up the lung. Use the time while it's doing this to 
raise vitals by injecting stabilizer on the right.

Now just repeat the procedure in exactly the same way. This time, after you
burn the core, switch to your scalpel because it'll be time to cut it out and
place it on the tray. And that'll be it for this operation. If you did 
everything like I told you, you should get the XS. There's really not many 
places where you could make mistakes so it's a pretty easy one.

For my 4.8 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part26

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4.9 - Progress

Special Bonus

-Finished faster than 15 - 2500

This one is harder than the previous puzzle. Not only is it bigger but dere's
TWO off dem. Well, Ali, dere's ONE off me.

Uhh right. Anyway. Because this one is so much more complicated, you're going
to need more memorization on your part. Like the other puzzle, you need to be
able to do this one without thinking much. The only way to achieve this is to
practice it many times. Let's see if I can help you a little bit though.

You won't be able to grab a piece immediately on this one because Angie will 
be mouthing off at the start. So after she's done, you can start. Grab the 
piece on the right and place it on the far left side of the puzzle. It should 
go over Br. Next grab the green piece and place it on the bottom-left. Then 
grab the orange piece and place it on the bottom-right. That's to the 
immediate right of the green one you just place. You should remember it this 
way: those two pieces are the same except one is upside down. They're close 
to each other. They both go at the bottom of the puzzle next to each other, 
and if you've placed the light blue piece it should be easy to see where they 
go.

Once those two are in place, grab the huge pink piece at the bottom and place 
it on the top left. Then get the remaining piece on the bottom and place it 
on the top right. This one should be easy to remember because it looks 
EXACTLY like the top right corner. The last piece should be obvious.

Now we move on to the next puzzle. As soon as it starts grab the green piece 
on the right and place it on the far right side of the puzzle. This one should
be very easy to remember because it goes in the exact same side you got it 
from. Next grab the yellow piece and place it on the bottom-left of the 
puzzle. This one should also be easy to remember because, like the previous 
piece, it also goes in the exact same side you got it from.

Now grab the pink piece. The way you're going to remember where to place this 
one is this: it goes in the EXACT same place that the EXACT same pink piece 
went in the previous puzzle. Next grab the blue piece on the bottom. This one 
should be ridiculously obvious where it goes. It's on the top-left. The last 
two pieces should be easy to place because if you've done what I told you, it 
happens to be impossible to place them incorrectly.

That's pretty much it. Like I said before, you'll need to practice a few times
until you can do everything without thinking too much.

For my 4.9 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part27

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4.10 - Prolonged Struggle

Special Bonus

-Max chain over 100 - 600
-Completed with 140 left - 800
-No mistakes - 600

Alright! Pempti! Now this is one fun operation. After the smorgasbord of
criminally easy operations throughout this chapter, we finally get rewarded 
for our efforts by this beauty of a GUILT. Pempti is the hardest strain you've
fought up till now by far. You're going to be using Victor's new laser here
almost exclusively, and it happens to never run out, so it's not a bad idea to
keep the button held down when using it. A big problem with Pempti is that if
you're not on the ball, it's very easy for it to overwhelm you. It has a very
effective pressure strategy in that when something gets past you, rather than
giving you a chance to repair your mistake, it doesn't let up and continues
fighting aggressively. This results in the odds stacking higher and higher
against you because when you're dealing with your mistakes, this is wasted 
time that you should have been using to prevent Pempti's attacks in the first
place. Basically, once you let something past you, the chances of the next 
attack causing damage are higher, then once that gets past you, the chances 
of the next one succeeding are even higher, and so on. Until you're completely
overwhelmed and there's no more hope. But anyway...

This is the last time you'll be operating on secretary Anderson. Open him up 
and go inside. Don't worry about raising vitals yet. When you're in, 
immediately fill up your syringe with the serum and inject it into the circle 
of Pempti cells before it disappears. After injecting once, switch to the 
stabilizer and raise vitals to max with a single injection on the right. Then 
switch back to the serum and inject the circle a second time. This will cause 
the Pempti core to reveal itself. Switch to your new laser now and begin 
burning the core.

Once you get the first OK it'll be time to fight Pempti mano a mano. To kill 
it, you have to keep burning the core with the laser. But Pempti defends 
itself by sending out its minions to wreak havoc on the secretary's lung. You 
can't ignore the minions or they'll kill Mr. Anderson in mere seconds. You 
have to kill them with the laser as well.

As a general rule, always, always, ALWAYS have your laser activated and right
on the core when you're not dealing with minions. This is because this is 
where they come out from. you don't really know what Pempti will send out 
next, so having the laser activated and pointing on the core puts you in the 
best possible position to fight whatever it's going to send out on the 
shortest notice.

Now Pempti has 3 kinds of minions that it likes to send out. The first type 
are red mini-cores that cause lacerations. These are the ones that can cause 
the most damage if you don't take care of them, but they're also not too hard 
to deal with. Pempti will send 5 of these, one right after the other. They 
will move from the center (that is, where the core is located) to one of 5 
spots around it, then shoot upwards after a second and create a laceration on 
the lung. You don't want this to happen. Your goal is to kill every one of 
these 5 small cores BEFORE they get a chance to create their laceration. This 
isn't hard to do if you're on the ball, but the timeframe from their creation 
to the laceration is a little bit strict so your laser NEEDS to be active and 
pointing at the core BEFORE it sends the first one out. Otherwise there's a 
good chance that you won't have enough time to kill it before it does damage. 
You can probably suture one or two lacerations if you're fast enough, but 
ideally you don't want to give Pempti a chance to create even ONE. The 
problem is that if you try to suture after all 5 of them have gone out, it's 
probable that you will not be pointing the laser at the core when it sends 
out the next wave, meaning you will NOT have time to deal with it, and you 
will be even closer to being overwhelmed. So it's in your best interest to 
kill these little guys immediately. To do this, as I've said  before, have 
your laser burning the core before they come out. This makes it so that you 
start burning and causing damage to it as it's coming out, and you can follow 
its path with the laser up to one of the 5 points where it preps to make
the laceration, burning it the entire time. If you do this, you will kill it
before it does the laceration. But you can't relax because there's still 4 
more to come after that one, so very quickly go back to the center and repeat 
the same thing for all of them. Remember, don't let even ONE of them get past.

The next type of Pempti minions are blue ones that cause tiny tumors. These 
are definitely the hardest ones to deal with. In fact, unless you're some kind
of legendary surgeon it's very likely that you will not be able to kill all 5 
of them before they create their tumors since they're so ridiculously fast. 
The good news is that you actually DON'T want to kill all of them. Truth be 
told, if you work too well there's a chance that you won't get a high enough 
chain to get the XS. Therefore, what we actually want to do is let some of 
these guys live so that they can create some tumors to help boost our chain. 
Now if you'll notice, the laser has an area of effect. This means that you 
can actually kill two of these little cores at the same time by pointing the 
laser BETWEEN them. If you're good, you can theoretically consistently kill 4 
of them every time by doing this. But this is very hard to do and not even 
all that desirable. Ideally, you want to leave 2 or 3 alive so they create a 
lot of tumors that you can quickly treat. What I recommend doing is, as soon 
as all 5 come out, move your laser a bit upwards, and place it in between two 
of the ones on the top part. You should very easily kill those two before 
they create their tumors. Then, move on to burning a third one. It's very 
possible that you won't kill that third one before they go out, but don't 
worry about it. Like I said before, keeping them alive is actually to our 
benefit.

When the very short timeframe to kill them is up, they will spread upwards on
the entire lung and place their tumors. You CANNOT actually kill them when
they're in the middle of this, so instead of wasting time trying to burn them
at this point, ignore them and start burning the tumors instead. Do it fast 
and make sure you get all or most of them, then very quickly gel the wounds 
up. These minions wait around for a little while after their initial attack, 
so after you've gelled up those tumors you have a choice as to how to proceed: 

1) if you feel that you've treated the tumors suitably fast (this will usually
be when there are only 1 or 2 of them alive), you can take the time to inject
stabilizer once (twice if you want to push your luck) before switching back to 
the laser and killing off the survivors. This is pretty much the only time 
when you can raise vitals safely. I don't really recommend you raise vitals 
at any other time unless you're sure you know what you're doing. 

2) if you feel that you haven't treated the tumors suitably fast (this will
usually be when there are 3 or 4 of them alive), I recommend you just kill the
survivors as soon as possible and wait for another chance to raise vitals.

The third type of minion Pempti uses is the least dangerous one. They are 5
mini cores that slowly come out in a spiral and start spinning around and 
causing damage. The thing is, these pose absolutely NO problem if you're 
pointing the laser at the core (which you should be). If you are, you don't 
need to do anything. All 5 mini cores will die as they're coming out before 
they have a chance to know what's up. No sweat.

In any case, that's how you fight Pempti. If you always keep the laser on the
core you should be done before the time limit. Your only worry (other than
dying), is your score. Do not break your chain at any time. And before you're
done, make absolutely SURE that your chain is over 170 (close to 200
just to be safe). It's not enough to simply hit the 100 chain which gives you
the special bonus. To get the XS you need to score over 6500 points. A chain
below 170 has a low chance of netting you that much.

For my 4.10 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part28

------------------------------------------------------------------------------

Z.4 - Transplant

Special Bonus

-Tumors did not regenerate - 800
-Finished before vasoconstrictor expired - 200
-No mistakes - 700
-Completed with 230 left - 300

The thing you need to be careful with in this operation is that the time limit
is very, VERY strict if you're a renegade and don't use the Healing Touch.

When the operation starts, you may raise vitals before performing the 
lobectomy if you want a tiny bit of help in the next part, but it's not 
necessary.

You'll see two tumors of the nasty variety. What we're going to do here is 
remove them both at once. You need to do it this way because if you treat one 
first and then the other, the first one will regenerate while you're working 
on the second. However, you will need to be very fast and very precise when 
working here because the patient's vitals are already dangerously low. It's 
highly probable that by the time you've finished removing both tumors vitals 
will be at single digits. In any case, remember to keep the control stick 
pressed towards the bottom-right, have the B button also held down, and the 
cursor on top of one of the tumors as the screen is transitioning. This will 
allow you to start draining immediately. Drain the first one completely, then 
immediately move over and drain the second one. When that one's drained, very 
quickly switch to the scalpel and start cutting off the veins of the FIRST one
you drained. Remember to be very precise in where you place the cursor and to 
only keep the scalpel held down long enough to sever the vein. Otherwise the 
patient's vitals drop too much. Once you've cut off all 3 of the first tumor's
veins, move on to do the same with the second one. When that one's done, very 
quickly switch to the forceps and remove
both tumors one right after the other. There is no need to apply synthetic 
membranes in this one. After you've removed them, there should be a few tiny
tumors left over. Take a glance at the patient's vitals. If he's about to die,
inject stabilizer a little before lasering the tumors. If his vitals are 
around 10 or so it might not be necessary. After lasering and gelling all the 
tiny tumors the vitals should definitely be critical, so now start injecting
stabilizer and keep doing it until vitals are maxed at 50. 

Now switch to the forceps, grab the kidney and place it where the tumors used 
to be. After this is done, change to the syringe and fill it up with the
vasoconstrictor. First we're going to inject it in the blue vein. Be careful 
here because you do not want to get a miss. Make sure the pointer is on the 
vein. It will require 2 injections before the scalpel line appears. Switch to 
your scalpel and make the incision, then drain the blood. We're going to 
perform the anastomosis by bringing that blue vein the kidney has towards the 
incision we just made. Use the forceps and try to move the pointer in a 
relatively straight line towards the incision so that you don't get a miss. 
Now you'll have to suture the veins together. Getting all COOLs here isn't 
absolutely imperative but it never hurts. I know that the place where the 
veins connect is very small and this might lead you to make the suture very 
small too, but to get the COOL, you want to make the suture much longer. 
Treat the vertical blue vein as a normal sized laceration and make the suture 
accordingly. When in doubt, make more and wider passes than you might think 
is necessary. Check the video to see what I mean.

Now we need to do the exact same thing but with the red vein. Just repeat the
procedure. After that's done, you'll need to inject stabilizer once or twice
because vitals will be dangerously low. Now switch to your scalpel and make
an incision on the scalpel line that appeared at the bottom. No need to inject
vasoconstrictor this time. Connect the green vein and make sure you bring the
cursor over in a relatively straight line downwards. To get the COOL on this
suture, do it the same as the others but this time treat it as a horizontal
laceration.

After this, you'll be almost done. There'll be a very long lull where you 
can't do anything. Not sure why. Use it to take a look at your time. It should
be at around 4 minutes. You NEED to finish the operation before it goes below 
3:50 or you will not get the XS. If you are at little over 4, you have time
to raise vitals to max before finishing up, but if you're not, it's better to
just finish before missing the time bonus and not worry about vitals if you 
don't have the time.

For my Z.4 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part29

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5.2 - Under the Knife

Special Bonus

-Max chain over 200 - 800
-All 5 operations were completed - 600
-5 patients saved - 100
-No mistakes - 500

This is a pretty fun operation. It's not that hard but it is very long so it's
a bit of an endurance test. You're going to treat 5 patients back to back all
infected with Kyriaki. Because it's so long, it's very likely that this is an
operation which will cause you wrist pain. If you have carpal tunnel syndrome
this operation is very likely to cause it to flare up. If you're young you can
try to take it and just hang in there. If you're old I recommend taking it 
easy a little. Nevertheless, wrist pain does lower your ability, and if it's
particularly bad it can even cause mild hand paralysis and even muscle spasms.
Therefore if you're experiencing this I recommend taking short breaks in 
between retries. It doesn't have to be more than a few minutes. Also, it 
helps a little to pause in between patients and rest for a few seconds if you 
feel your wrist too tensed up. Obviously I can't do that in my video since 
people would get tired of watching nothing happen or I'd have to edit it 
which I'm completely against. You can though, and it's not a bad idea.

The real trick to XSing this operation though is to realize that you have 
plenty of time. To realize that your number one priority isn't to be fast; 
but rather to avoid breaking your chain or getting a miss. That's what you 
should be striving for. This isn't New Blood so you don't actually have to 
get COOLs in every single thing you do. A few GOODs here and there are 
acceptable. But always be careful. Don't rush. Make sure that you never get 
a BAD.

Perform the lobectomy as soon as you start. Once you're inside the patient, my
recommendation is to suture all of the normal lacerations except for one, then
take care of the huge one. Remember to be reasonably careful when bringing the
two ends together. If your hand slips you'll get a miss and lose the XS. You
should know how to get COOLs on all these lacerations by now. Remember that 
when in doubt, it's better to make more passes than less. Before you suture 
the last small laceration, raise vitals to max. After that laceration is 
treated, the Kyriaki will start appearing. There is really no difference to 
the Kyriaki treatment here. You will be fighting it in the exact same way 
that you fought the last ones. The only difference is that there's more of 
them.

Treat the lacerations the kyriaki makes as soon as you see them. Then switch 
to the ultrasound. Try to concentrate most of your ultrasounds around the 
center of the organ unless you've gone 2-3 ultrasounds without finding 
anything. Usually you'll be able to make the Kyriaki appear by spamming it 
near the center though.

As soon as you can see the Kyriaki, immediately switch to the scalpel and make
an incision on him, then very quickly change to the laser and burn it. It's 
weak so it won't require much to kill it. You'll want to immediately switch to
the sutures and take care of the laceration it made, then switch to the gel 
and treat the wound caused by your incision. Then, switch to the sutures and 
keep them as a pre-emptive measure for the laceration the next wave of Kyriaki
will make. All this should be done as the original one is dying and before the
next ones appear. Remember that it takes two hits with the laser to kill the 
little Kyriaki. Use this knowledge to your advantage. As soon as you hit it 
the second time, you know that you have to switch to the sutures immediately.

You can actually raise vitals before treating the laceration and incision 
wound without fear of the next wave arriving until you do. This isn't actually
necessary though. The next wave will have more Kyriaki. Usually you'll only
fight two at a time but sometimes you can fight up to 3. I like to find and
cut them all up then kill them at the same time rather than dealing with 
them one at a time.

After little ones are dead the boss Kyriaki will appear and create his 
trademark triple laceration pattern. Take care of these before you start 
looking for him. Remember to make many passes to get the COOLs. Now, unlike 
the little ones, the boss Kyriaki has several HP. So we'll be repeating the 
procedure on him as many times as it takes.
When the wounds have been treated, start spamming the ultrasound near the 
center. He's big so he should be easy to spot. Cut him up with the scalpel and
then laser him. He requires VERY little lasering before he burrows back 
inside the organ, so don't bother keeping the laser on him for very long. 
Just a few microseconds is fine. As he's burrowing, immediately switch to the 
sutures, treat the lacerations and the wound you made with the gel. Then 
switch back to the ultrasound and repeat the exact same procedure until you've
defeated him.

Obviously if vitals go into the critical zone you should raise them no matter
what. Generally speaking, before fighting the boss Kyriaki vitals should be
around 60 if you don't want to raise them in the middle of the fight. 
Sometimes though, a little one will also be running around when the boss 
appears. You want to take care of this little one before dealing with the 
boss. And obviously vitals should be a bit higher than 60 if this is the case.

Like I said before, the most important part of this operation is being careful
and making sure you don't break your chain. Speed isn't as important. When 
moving between patients don't bother raising their vitals before you close 
them up. Except for the very last one, of course. Also be sure to take it 
slow and careful when applying the bandage after each one because you don't 
want to get a BAD there.

For my 5.2 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part30

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5.3 - Shifting GUILT

Special Bonus

-No Healing Touch - 1000
-Less than 3 membranes multiplied - 500
-Completed with 190 left - 300
-No mistakes - 200

It's Triti again! This one works exactly the same as the previous one you 
treated back in Africa. And just like the last one, if you follow my 
directions to the letter you can easily XS this without doing any actual 
work. Following directions isn't as fun as actually doing it by yourself 
though, so let me paste the Triti explanation in case you missed it the first 
time:

First of all I'm going to explain to you the way Triti works. But know that it
can be a bit difficult to understand at first. This explanation will help you,
but I recommend that you also get in there and actually see for yourself. It
might take a while, but I guarantee that it will eventually become clear to 
you.

Triti is made up of two parts: membranes and thorns. What you want to do is
remove all of the membranes from the pancreas. However, each membrane is 
embedded into the organ by three thorns in each corner. To remove a membrane, 
first you must remove all of the thorns surrounding it. The thorns also 
regenerate after a few seconds.

The big problem, of course, is the way the membranes multiply. First of all,
notice that membranes only multiply based on what you do. Notice that if you
don't do anything, they will never multiply. This means that, while speed is
still important, it's also important to know what you are doing. 

Notice that membranes can only multiply when you remove one with the forceps.
Simply removing thorns does not allow them to. Now, the trick to Triti's
nightmarish multiplication is simply this: if there are two thorns adjacent
to each other, and there is a free space next to them, a new membrane will
appear there when you remove a membrane on any part of the organ. Therefore,
the trick lies in looking at the thorns. What you want to do is only remove
membranes when there are no adjacent thorns currently present. The exception 
is when there is no free space where two adjacent thorns can create a new 
membrane. This is either because there is already a membrane there, or because
it's the edge of the organ and there is no actual room for a membrane to 
appear.

You're going to be using your forceps almost exclusively here. I recommend 
that you grab the wiimote in a specific way here: place your thumb over the A 
button and grip the remote firmly with it. That's right, you're going to have 
the A button constantly pressed throughout this operation. Never let go of it 
until you're done. If you have the A button pressed, then you can simply use 
the B button to grab and let go of things with the forceps. There is no need 
to press and let go of both buttons. Using a single button affords much 
greater control over the remote. When pulling thorns in general, remember that
they are embedded in the organ. You want to pull UPWARDS when grabbing them 
before placing them on the tray. If you simply pull to the right, you will 
get a miss and forfeit the entire operation. This is important, so always 
remember to pull in an upward motion.

Now what follows is the way to XS this specific operation. Understanding Triti
and the meaning behind what you're going to do is good, but if you follow 
these directions you can XS the operation without having to understand it:

Open up the patient and go inside. You will see two separate clusters of
membranes. They are identical in shape except one is upside down. They both
consist of the same number of membranes (5) and thorns (8). Notice the pattern
of the thorns. Look at the top-left cluster of membranes. You can see 6 thorns
surrounding a single one in a hexagonal shape. We're going to use this hexagon
shape as a point of reference. The 8th thorn is the odd man out down at the
bottom.

Anyway, we'll start by quickly removing three thorns from the top-left 
cluster. Remove the the rightmost thorn in the hexagon, then the centermost 
thorn in that same hexagon, and finally the odd man out thorn. Now we'll move 
on to the bottom-right membrane cluster. First remove the leftmost thorn of 
the hexagon, then the centermost thorn, then all three of the topmost thorns. 
After that, very quickly remove both of the topmost membranes of the 
bottom-right cluster. If you do this correctly, the bottom-right cluser will 
now only have 3 membranes and there will have been NO new ones created. If at 
any time one of the thorns turns into gas just quickly drain it.

At this point the thorns you removed on the left membrane cluster should be 
about to regenerate. Inject stabilizer a bit if you want while you wait for 
them to do so. Now, remove the same 3 thorns you removed from the left cluster
last time. Then move over to the right cluser and remove the 3 leftmost 
thorns, then the leftmost membrane there. Now the right cluser should only 
have two membranes and again, none should have been created. Raise vitals 
again while you wait for the
thorns to regenerate again. Now remove the SAME three thorns from the left
cluster again, then move on to the right cluster and quickly remove all 4
thorns and then immediately remove both membranes one right after the other.
If one of the thorns turns into gas, ignore it until you've removed both 
membranes. Again, no new membranes should have been created.

Now we're almost done. We only have the left cluster to worry about. Wait 
until the thorns have regenerated while injecting stabilizer. Then, remove 
rightmost thorn of the hexagon followed by the centermost one and the three 
at the bottom. Remove both bottom membranes. Now there are only three left. 
Wait until the thorns have regenerated and remove the three rightmost ones. 
Now remove the right membrane. Only one more step to go now. Remember that 
absolutely zero membranes should have been created throughout this entire 
procedure. Let the thorns regenerate one last time, then very quickly remove 
all 4 and both membranes. Drain the gas that surely appeared and that'll be 
it. 

If you follow these directions correctly you will get the XS. Watch the video 
to see the demonstration.


For my 5.3 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part31

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5.4 - GUILT Evolves

Special Bonus

-Max chain over 30 - 600
-3 or fewer diverticula formed - 500
-Completed with 180 left - 400
-No mistakes - 500

Angie says this Tetarti is stronger than normal. If you ask me, it sounds like
another of her many lies. Who knows though, it might take a few more 
injections before it dies but other than that it's absolutely identical to the
last one. There are zero changes from the normal procedure. If you XS'd the 
last Tetarti you should have no trouble XSing this one as well.

Tetarti is a pretty easy GUILT in this operation. The biggest danger you're 
going to face is trying to make sure that you don't miss the bodies when 
injecting the serum. This'll cause a miss and will likely be the only thing 
that keeps you from getting the XS.

Anyway, when you're inside you'll spot three diverticula. We're going to take
care of these as fast as possible. Inject the correct colored serum in each of
them one right after the other. After the third injection, quickly switch to 
your scalpel and excise the FIRST one you injected, then move on to excise the
second one you injected, and finally the last one. You need to do it in this 
order or else there's a high chance that the serum will wear off on the first 
one before you get a chance to work on it. In any case, quickly take all 3 of 
them to the tray right after the other. This should net you a COOL on every 
one. Apply the synthetic membranes and gel them. By now the patient's vitals 
should be a bit on the low side. Don't worry about this, you'll have plenty 
of time to raise them.

Now we fight Tetarti proper. Before they appear, get ready by filling up your
syringe with a serum. Doesn't matter which. Once they come out, pay attention.
Find the one which is the same color as the serum currently in your syringe.
This is going to be the first one you inject. But at the same time, pay 
attention to a second body and keep its color in the back of your mind. This 
is because this one will be the second one you inject, and since their color 
disappears after the first second, you need to know it beforehand.

Now you're going to inject the correct colored serum into each Tetarti body 
but it's imperative that you be VERY careful when doing so. They move around a
lot and like to make sharp turns that make it very easy for you to miss.
First of all, relax. You'll want to keep a steady hand throughout this 
operation. It's true that the Tetarti burrow back after a while if you 
don't inject them all fast enough, but you have more time than you might 
think so don't rush. Generally speaking Tetarti will make sharp turns when 
it hits the edges of the organ or one of the other bodies. Usually when it 
makes a sharp turn it will not make another one immediately unless it hits 
something. Use this to your advantage. If you notice that it has just made a 
turn, you can be pretty confident that it will keep moving forward, which 
makes it easier to inject safely. If you see that it's about to hit an edge 
or another one of the bodies, it's probably a good idea to wait a little 
until after he's made the turn just to be safe.

If you're stupid like me and forget to check the second one's color, it's a 
good idea to wait a little until the remaining bodies expel their gas so you 
can be sure that you're injecting the correct one. If you get the wrong color,
just restart. After you've injected all 3 and as they're dying, you have an 
opportunity to inject stabilizer twice and still have time to fill the syringe
up with serum before the next wave appears. If you do this every time you
defeat a wave, you'll be at max vitals in no time.

In any case, that's all you need to do. Just keep doing the same thing until 
all the Tetarti have been killed. Again, being very careful never to get a 
miss.

For my 5.4 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part32

------------------------------------------------------------------------------

5.6 - Infection

Special Bonus

-Max chain over 50 - 1000
-Paraskevi moved 1 time or less - 500
-Completed with 120 left - 300
-No mistakes - 200

Paraskevi's a pretty fun GUILT because as you're cutting him up into smaller
pieces more and more of them get added and things can get pretty hectic for 
you if you're not careful. Our strategy when operating on Paraskevi will be to
avoid dealing with more bodies at any one time than is necessary. In other 
words,we want to keep things as easy and manageable for ourselves as possible.

When you first get inside Cybil, you will see two small lacerations. Just take
care of these quickly. After they're gone, you have a chance to raise vitals 
to max before Paraskevi makes its appearance. It'll start as one big body. If 
you let it be for a while, it will eventually burrow and move on to another 
organ, then to another, and another and so on until it reaches the heart and 
kills the patient. You don't want this to happen. If Paraskevi moves more than
once, you will not get the XS. Use the laser on its tail to paralyze it 
temporarily. This keeps it from burrowing. 

Pay attention to the tail. When it starts vibrating, it means it's about to
burrow, so quickly paralyze it before it gets the chance. Once it's paralyzed,
you'll have to switch to the scalpel and slash it's midsection to start 
killing it. Remember to slash along the MIDDLE. Any other part won't work. 
Once you do, it will turn into two bodies and create two lacerations. Before 
dealing with the lacerations, it's a good idea to paralyze the two bodies 
first so they don't burrow while you're busy suturing. Now, we're going to 
repeat the procedure and slash one of the two bodies. This will have the same 
effect as the last time. It will divide in two and cause two lacerations. Now 
you have 3 bodies to worry about. 

What you're going to do from here on out is concentrate on slashing ONLY the 
smallest body currently present. You will do this so you can reduce the number
of Paraskevi while keeping the number you have to worry about at one time down
to the most manageable level. Therefore, other than periodically paralyzing 
them with the laser, you will ignore the larger bodies and only slash the 
smallest ones. You should keep working the same way as you go on, paralyze, 
slash, paralyze all, suture, paralyze again, slash etc. However, once you 
slash a body down to the smallest size, that is, to only a tail and head, 
what you'll want to do is, instead of suturing the lacerations after paralzing
everything, ignore them for a bit, and instead, pick up the two smallest 
bodies comprised of only the head and tail as soon as you paralyze them. Only 
after these two are gone should you suture the lacerations. The reason is 
that the smallest ones move too fast, plus by that point there will be a very 
large number of them, and if you can get rid of two that fast and easily, it's
better to get them out of the way first.

After that, move on to the smallest body currently present and start working 
that one down. Do everything exactly the same way until there are no more 
Paraskevi. Raise vitals whenever you want, but make sure that all the bodies 
are paralyzed when you do.

Alternatively, once you've slashed once and there are two large Paraskevis, 
you could choose to ignore one of them completely and let it move on to the 
next organ and treat it only once you've completely gotten rid of the other 
one. This might lighten the workload a bit since you'd have one less Paraskevi
to worry about on the first organ. Still, I prefer to play it safe and not let
any of them through on purpose.

Sometimes there may be too many Paraskevis moving around to paralyze all of 
them. This is when their signals come in handy. You can actually choose to 
let a body roam around as long as its tail isn't vibrating. However, the ones 
whose tails ARE vibrating should be lasered as soon as possible. As a matter 
of fact, if you're good at watching for those signals, it could be in your 
best interest to only paralyze bodies when absolutely necessary. This can 
certainly help to make things go faster for you.

Make sure to be careful when suturing so that you never get a BAD. Otherwise 
it's probable that you won't be able to hit the max chain bonus. If this 
happens you will not get the XS. Finally, be careful when picking up the 
smallest bodies. Firstly, make sure they're paralyzed, and secondly, make 
sure that they aren't near another body, because then you could accidentally 
pick up the wrong one and get a miss. If you paralyze a tiny Paraskevi and a 
larger one near each other, it might be best to let the paralysis wear off so 
they can get some distance from each other.

For my 5.6 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part33

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5.8 - A Devil

Special Bonus

-Max chain over 70 - 600
-Blue GUILT body did not appear - 900
-Completed with 230 left - 300
-No mistakes - 200

This is a very difficult operation if you're a renegade and don't use the 
Healing Touch. Once you realize the trick to it, though, it becomes much 
more reasonable.

Open up this son of a bitch and get inside. You'll see 5 normal lacerations. 
Suture 4 of them, and raise vitals to max, then suture the last one. Once you 
do get ready because you'll have to deal with wave after wave of Savatos.
They will create a laceration, and then pour out from it to cause havoc. Now 
the hard part of this operation is that you MUST prevent the blue Savato from 
being formed. And the thing is, that if you don't incinerate the majority of 
Savatos in the first 0.5 seconds after they pour out of the laceration, they 
WILL form the blue Savato and that's goodbye XS rank.

If you think about it, 0.5 seconds isn't a lot. In fact, 0.5 seconds isn't 
that much more than an instant. Fortunately, there is a way: if you'll notice,
the location where each laceration gets made is actually FIXED. It is not 
random. You know what this means. You will have to memorize where each 
laceration will appear so that you can have the pointer on it and ready to 
burn the Savato BEFORE they actually appear. The problem is that, unless 
you're some kind of legendary surgeon, it's impossible to have fast enough 
reflexes to take care of the Savato without knowing where they will come out 
prior.

Anyway, there will be 8 waves of Savato that you have to kill. The first
laceration will appear on the center of the organ slightly to the right, and
the Savato will pour towards the right. Use this knowledge and your laser to
burn them immediately. Then very quickly suture the laceration.

The second laceration will appear on the right. Do the same things you did on 
the last one. The third laceration will appear at the bottom, then the fourth 
a bit above the center. The fifth will be slightly left of center.

The sixth one will appear very near to the fifth. Now, at this point, you will
need to STOP suturing the lacerations. The Savato have been accelerating and 
from here on out there is simply no time. After the sixth wave, the 7th will 
appear slightly bottom-right of the center. Be quick in burning them. Now be 
very careful with the final wave. This one will come SO fast that I actually 
recommend you don't even let go of the button after burning the sixth one. 
Just keep the laser activated. This final wave will come out from dead center 
very near to the last one.

That'll be it. Suture the 3 lacerations. If the blue Savato wasn't formed, you
will get the XS for sure. Unless, of course, you got a BAD somewhere. Don't 
let this happen.

For my 5.8 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part34

------------------------------------------------------------------------------

5.9 - Death Awaits All

Special Bonus

-Completed with 240 left - 500
-No mistakes - 500
-Max chain over 120 - 600
-25 COOLs earned - 400

Alright, the completed form of Savato complete with decent boss music! This
operation is actually not that hard. It's only a little bit long. The main
problem with it is that if you work TOO well it's quite probably that you will
only get an S rank. To get the XS you will have to stall and let the Savato
cause a bit more damage so you can rack up points and a bigger chain. However,
you must make absolutely sure that you finish before the clock goes below 
4:00.

Get inside. You'll be at the heart and spot the Savato plus a bunch of its 
webs. You'll want to immediately switch to the scalpel and start severing 
those. Just put your cursor over a web and keep the button held down on it 
for a few seconds. However, your scalpel will melt each time you break one. 
It's fine though, just put your cursor over the next web and keep the button 
held down. If you do this, once your scalpel is usable again it will start 
cutting off the next web immediately. 

Be careful. When there's only one web left, Savato will create a new one plus
some minions. Obviously you want to burn these little guys with the laser but
you should do that ONLY if your scalpel is currently unusable. As SOON as you
can use your scalpel, ignore the mini-savatos and sever a web. Then go back to
burning them with the laser as the scalpel is recovering. As soon as it is, 
cut off the last web. Savato will escape down to the bottom of the heart and 
create a bunch of new webs. You'll have to repeat the same procedure to get 
rid of these, except this time he'll start creating new ones and sending out 
minions earlier. Just remember the rule: only laser the minions if your 
scalpel is currently unusable.

Once those webs are taken care of, Savato will escape back to the top part of
the heart and create a bunch more. You'll have to repeat the same procedure
a third time exactly the same way as before. If you're having trouble because 
you kill him too fast and don't like that whole stalling business, here you 
might want to try leaving a single minion alive when you cut off the last web.
Savato will absorb the little guy and this will make him much more powerful, 
which means that it'll take longer to kill him.

When that's done you'll move on to the next phase. Here you will have to keep
using the laser to burn the Savato's outer layer. Since he likes to dodge a 
lot, what I recommend here is that, instead of holding the button down, you 
try to prick him for a second with it, and when he dodges, follow him but 
WITHOUT holding the button down, and only use the laser when he's reasonably 
immobile. Basically, you want to avoid wearing out the laser. One, because 
it's actually less effective than using it moderately, and two because you 
want to keep it on hand in case he decides to send out minions.

Right, minions. That's one of his two modes of attack. He'll periodically 
create a long laceration from which little guys will pour out of. You'll want 
to get them with laser immediately before they get a chance to disperse. Then
suture the laceration before going back to the offensive.

The other mode of attack is simply to cause 3 normal lacerations. Just suture
them as fast as you can before going back to the laser.

Remember to be moderately careful and not get a BAD because this will break 
your chain. You actually CAN break your chain in this way throughout the 
operation and still manage to get the XS, so if you were doing well and 
suddenly get a BAD near the end, don't worry about it. Still, it's best to be 
safe and not break that chain in the first place.

You should raise vitals frequently. In fact, it's a good idea to strive for 99
vitals at all times. It's simply best to raise them in small increments in
between attacking rather than to wait until they're critical and then waste a 
bunch of time getting them back up.

When you've laser'd off the outer layer, which you will know because Savato 
will start doing some crazy ninja dodging when you try to laser him some more,
it'll be time to switch to the scalpel and slash him once. He moves around a 
lot so be careful. When you do that, he'll escape down to the bottom of the 
heart, and you'll have to repeat the procedure again. When you've done 
everything here again, he'll escape back to the top of the heart for one last 
round.

At this point it's not a bad idea to take a look at the clock. You want to 
finish this round when it's at around 4:30. If you let Savato absorb one 
little guy at the start you most likely won't have to worry about finishing 
ahead of time. However, if you didn't, it's probably a good idea to stall and 
just let him do his thing until 4:30 and then apply the final blow. Slash him 
with the scalpel and then inject a full syringe of the black serum into him. 
This will cause Savato to go crazy and start making a ludicrous amount of 
lacerations. Vitals will automatically fall down to 30. Derek will 
automatically activate his Healing Touch here. Ignore the lacerations and 
quickly go for the syringe and start raising vitals. We're going to let him 
cause a little bit more damage before we kill him. Keep raising vitals until 
your syringe gives out. By this time he should have created 2 or 3 more sets 
of lacerations. That's about enough. Now activate the ultimate Healing Touch. 
This makes time stop completely. Now you're
pretty much home free. You can do this next part as slow as you want. Raise
vitals to max, then start working on all those lacerations. Try to get COOLs 
on all of them. When they're all gone switch back to your syringe and inject 
another full round of black serum into Savato. This will be enough to finally 
kill him.

Be very VERY careful when making the final suture and applying the bandage.
Since the operation is so long, there's a chance that your wrist has gotten
very tired and so your hand may have started trembling like mine did in the
video. This is dangerous because if you get a miss on the final suture or 
bandage all your previous work will have been for nothing. Try to go for at 
the very least GOODs or even BADs. Just don't get a miss. Your chain at the 
end should be somewhere in the 300's.

For my 5.9 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part35

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Z.5 - Sayonara

Special Bonus

-Captured 3 blue GUILT bodies - 600
-Max chain over 50 - 200
-No mistakes - 400
-Completed with 140 left - 800

This operation is pretty easy. The main thing you have to watch out for is 
that you don't kill any of the Savatos and 2, that you don't get a BAD and 
thus break your chain. The other thing is that you need to score something 
like 9400 points or so for the XS. When I scored 9000 I only got an S. That 
means the XS is somewhere between 9000-9400. What this also means is that you 
must make sure to finish with the patient's vitals at max, and also to finish 
quite a bit faster than the special bonus limit.

Perform the lobectomy immediately without raising vitals. You'll spot 3 normal
lacerations. Suture them all quickly. Don't raise vitals at all. When that's
done, 3 Kyriaki will spawn. You're going to deal with these as you always 
have. Suture the 3 lacerations they made, then start spamming the ultrasound 
on the center of the organ. Bring them all out with the scalpel then burn them
with the laser. These happen to be a little stronger than normal. They will 
actually require 3 pricks with the laser before they die. You should not 
raise vitals at all throughout this. When they're all dead, suture the 
lacerations and treat the remaining wounds.

When that's done, 3 blue Savatos will spawn and bring vitals down to 36
automatically. This is why you shouldn't raise vitals at all in the previous
phase. It would have just been wasted time. Now the characters are going to 
talk for a while. Prepare to suture the laceration the Savatos made as soon 
as they're done. Now 2 Kyriaki will appear. Suture both of the lacerations 
and take care of them like always. Be mildly careful here though, because you 
want to keep all 3 Savatos alive throughout this. If you kill one accidentally
it's over. It's not too hard to avoid them though so don't worry. What I'd 
recommend is, instead of holding the laser button down when fighting Kyriaki, 
just prick them once with it, let them move, follow them without having the 
laser activated, prick them again, let them move, etc. This works pretty well 
and reduces the chances of accidentally hitting a Savato. 

After you've killed both Kyriaki, suture the lacerations but don't gel the
incision wounds just yet. The patient's probably got one foot in the grave at 
this point so take the time to raise them to max (that's 36). Now gel the 
wounds.

After little ones are dead the boss Kyriaki will appear and create his 
trademark triple laceration pattern. Take care of these before you start 
looking for him. Remember to make many passes to get the COOLs. Now, unlike 
the little ones, the boss Kyriaki burrows after being hit with the laser. 
So we'll be repeating the  procedure on him as many times as it takes.
When the wounds have been treated, start spamming the ultrasound near the 
center. He's big so he should be easy to spot. Cut him up with the scalpel 
and then laser him. He requires VERY little lasering before he burrows back 
inside the organ, so don't bother keeping the laser on him for very long. 
Just a few microseconds is fine. As he's burrowing, immediately switch to the 
sutures, treat the lacerations and the wound you made with the gel. Then 
switch back to the ultrasound and repeat the exact same procedure until you've
defeated him. All this should be done without hitting any Savatos. Remember 
that max vitals is 36, so you will have to raise them a couple of times in 
between hitting the Kyriaki.

When he's dead, Blackwell will give you a black serum to immobilize the 
Savato. Be mildly careful here. You don't want to inject them when they're 
moving or you could get a miss. Generally speaking, when a Savato stops 
moving, he will remain stationary for a few seconds before moving again. 
This is your chance to inject it. So to be safe, you want to wait until you've
seen one stop moving. If you haven't seen him stop, there's a chance that he 
could be ready to start moving again at any moment, and if he does move while 
you're in the middle of injecting the serum, you will get a miss. If the other
ones are still moving after you've immobilized one, it's not a bad idea to 
pick it up and place it on the tray. If you've seen another one stop though, 
go ahead and inject that one as well before you pick up the last one.

That will be it for the operation. Make the final suture. Now vitals are 
probably really low, and having them at 99 before you finish is imperative so 
switch to the syringe and start pumping stabilizer. When the syringe is about 
to give out, switch to the gel and disinfect the bandage area. This should 
give it some time to recuperate somewhat. Once you get the OK, switch back and
continue raising them all the way to 99. Apply the bandage and you're done.

For my Z.5 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part36

------------------------------------------------------------------------------

6.3 - Relapse

Special Bonus

-Max chain over 10 - 900
-Completed with 210 left - 800
-1 or fewer diverticula formed - 300

This operation could have been hard, but they decided to pussify it and let 
you get misses without having to forfeit the XS. Here you'll be fighting 
Tetarti, except now they move much faster than before. This would be a 
problem, but like I said, as long as you get up to chain 10, you can then get 
as many misses as you want and still get the XS. Of course, the other thing 
is that you can't inject the serum into the wrong body. But no one was about 
to do that, right?

Tetarti works in pretty much the same way as before. The only difference is 
that it now burrows quicker, so you have to be faster with those injections. 
It's good to remember that they only require a tiny dosage, so you don't need 
to fill up your syringe completely, or even halfway for that matter.

Before the Tetarti bodies appear, get ready by filling up your
syringe with a serum. Doesn't matter which. Once they come out, pay attention.
Find the one which is the same color as the serum currently in your syringe.
This is going to be the first one you inject. But at the same time, pay 
attention to a second body and keep its color in the back of your mind. This 
is because this one will be the second one you inject, and since their color 
disappears after the first second, you need to know it beforehand. It's more 
important to check the second one's color out this time since they burrow 
quicker.

Normally I'd tell you to be careful, but like I said, you can get misses and
still get the XS, so it's not that important. All I'm going to say is to be
careful until you get to chain 10, which should be after the third wave has 
been dealt with. Once you're past chain 10 you can miss as much as you want 
throughout the entire operation and still get the XS. The first and third 
waves shouldn't pose too much of a problem since they're more or less the 
same Tetarti you've fought before. The second one is a much faster Tetarti 
that continuously spews gas. This means that you don't need to worry about 
color, because it's always there. All you need to worry about is hitting them 
with the injection. Since they're much faster, their tendency for sharp turns 
becomes even more of a problem. The general rules from the normal Tetarti 
still pretty much apply to this one as well:

Generally speaking Tetarti will make sharp turns when it hits the edges of the
organ or one of the other bodies. Usually when it makes a sharp turn it will
not make another one immediately unless it hits something. Use this to your
advantage. If you notice that it has just made a turn, you can be pretty
confident that it will keep moving forward, which makes it easier to inject
safely. If you see that it's about to hit an edge or another one of the bodies
it's probably a good idea to wait a little until after he's made the turn just
to be safe. The "trick" here is to only inject a body immediately after it has
made a turn (and it's not about to hit anything). These Tetarti will also not
burrow after a while. They will only keep running around. The injection DOES
wear off after a while so you still need to be reasonably fast. If you inject
the third one and the first one's has already worn off, just keep going. Go 
back to the first one and inject it again. If by this time the second one has 
worn off just keep going and inject it again as well.

You have time to inject a full round of stabilizer in between waves, and this
should be enough to keep vitals in the clear.

In any case, it's not too hard because once you're past the third wave you're
pretty much home free.

The final suture in this operation is very weird. To get the COOL on it, you
shouldn't make the suture lines throughout the entire opening like you 
normally do, but instead, only make them in the very center. Check the video 
to see what I mean, although getting a COOL here isn't really important.

For my 6.3 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part37

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6.4 - Second Opinion

Special Bonus

-Max chain over 60 - 500
-No mistakes - 800
-Completed with 120 left - 400
-30 COOLs earned - 300

Here you'll be fighting Kyriaki and Paraskevi at the same time. Plus, you'll 
already be at the heart from the start, so you can't let Paraskevi burrow even
once.

Now the way we're going to approach this is that we will deal with the 
Paraskevi BEFORE the Kyriaki. There are two reasons for this: One, since it 
can instakill Derek, it's the bigger danger. Two, by letting Kyriaki live 
longer, it can cause more damage which allows us to get more COOLs on the 
lacerations and thus more points.

So get inside Derek. You'll see a number of lacerations. Suture them all 
except for one, then raise vitals all the way to max. When they're at 99 
suture the last one. Now Kyriaki and Paraskevi will appear. The Paraskevi are 
tiny so they can be picked up immediately. Laser them both and pick one up to 
get rid of it. Now suture the lacerations Kyriaki caused. Raise vitals to 99 
again, then pick up the other Paraskevi. As soon as you do this, 3 more 
Kyriaki will spawn and create 3 lacerations, as well as 2 more Paraskevi. 
Quickly laser and pick up both Paraskevi. This will free you of them for the 
time being.

Now at this point there will 5 Kyriaki running around inside the heart. This 
is not a small number. They will cause a huge amount of lacerations, but this 
isn't a bad thing. It's actually what we want. Start suturing every one you 
see, and when there are none in sight, raise vitals. When vitals are at 99 
start using the ultrasound and bring some Kyriaki to the surface. Since there 
are so many of them it might not be a good idea to cut them all up 
immediately. 3-4 of them is fine. Vitals will go down by a lot when you bring 
them out, and the others will surely cause even more lacerations. Keep an eye 
on the vitals. If they go down to critical you may have to inject some 
stabilizer before proceeding. If there are too many lacerations present very 
quickly suture some of them in between raising vitals. The reason we're 
raising vitals and suturing instead of killing the Kyriaki as soon as 
possible is because 1) vitals might be too low and Derek could
die while you're lasering them and 2) we want them to cause a little bit more
damage to rack up some more points and they can't do that if they're dead.
As soon as vitals are at a reasonably comfortable level start lasering
all the Kyriaki on the surface. Remember that these are a bit stronger and
require 3 pricks with the laser each before they die. When all of the ones on 
the surface are dead suture any remaining lacerations. Now bring out the 
remaining ones and kill them. Before gelling the final incision wound raise 
vitals to 99 once again.

Remember to get COOLs in as many of these lacerations as possible. You need 30
of these for the special bonus. If you left the Kyriaki alive for as long as
possible like I told you though, you should have plenty of opportunities.

Now the boss Kyriaki will make its appearance along with his trademark triple
slash. A small kyriaki will also be escorting him, plus a couple of small (but
not tiny) Paraskevis. We're going to continue this in the same way. Let the
Kyriaki be and concentrate on the Paraskevi. Paralyze them both and cut one
with the scalpel, then laser both of the tiny resulting ones and put them on
the tray. Then suture all of the lacerations including ones Kyriaki may have
caused. Next, do the same thing for the other Paraskevi.

Now you only have Kyriaki to worry about. Suture all the lacerations and raise
vitals to a reasonable level, then start fighting them as you always have. By
this time you most likely have gotten enough points so you can go ahead and 
kill the small one first. If you want to let him live until after you kill 
the boss so you can suture even more it's up to you though.

That'll be it. By now you've probably gotten enough points that getting COOLs 
on the final suture and bandage isn't imperative. Just make sure you don't get
a miss!

For my 6.4 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part38

------------------------------------------------------------------------------

6.6 - The Future of GUILT

Special Bonus

-Max chain over 90 - 600
-Completed with 140 left - 800
-No mistakes - 600

Pempti works exactly the same way as he did last time except now he's trying 
his hardest to keep you from getting the XS by being a complete pussy and 
making all his minions so slow that they all die before they can do anything.

So we're going to approach this operation the same way as the last Pempti:

Go inside. Don't worry about raising vitals yet. When you're in, immediately
fill up your syringe with the serum and inject it into the circle of Pempti 
cells before it disappears. After injecting once, switch to the stabilizer 
and raise vitals to max with a single injection on the right. Then switch 
back to the serum and inject the circle a second time. This will cause the 
Pempti core to reveal itself. Switch to your new laser now and begin burning 
the core.

Once you get the first OK it'll be time to fight Pempti mano a mano. To kill 
it, you have to keep burning the core with the laser. But Pempti defends 
itself by sending out its minions to wreak havoc on the patient's lung. You 
can't ignore the minions or they'll kill the poor guy in mere seconds. You 
have to kill them with the laser as well.

As a general rule, always, always, ALWAYS have your laser activated and right
on the core when you're not dealing with minions. This is because this is 
where they come out from. you don't really know what Pempti will send out next
so having the laser activated and pointing on the core puts you in the best 
possible position to fight whatever it's going to send out on the shortest 
notice.

Now Pempti has 3 kinds of minions that it likes to send out. The first type 
are red mini-cores that cause lacerations. These are the ones that can cause 
the most damage if you don't take care of them, but they're also not too hard 
to deal with. Pempti will send 5 of these, one right after the other. They 
will move from the center (that is, where the core is located) to one of 5 
spots around it, then shoot upwards after a second and create a laceration on 
the lung. You don't want this to happen. Your goal is to kill every one of 
these 5 small cores BEFORE they get a chance to create their laceration. This 
isn't hard to do if you're on the ball, but the timeframe from their creation 
to the laceration is a little bit strict so your laser NEEDS to be active and 
pointing at the core BEFORE it sends the first one out. Otherwise there's a 
good chance that you won't have enough time to kill it before it does damage. 
You can probably suture one or two lacerations if you're fast enough, but 
ideally you don't want to give Pempti a chance to create even ONE. The problem
is that if you try to suture after all 5 of them have gone out, it's probable 
that you will not be pointing the laser at the core when it sends out the 
next wave, meaning you will NOT have time to deal with it, and you will be 
even closer to being overwhelmed. So it's in your best interest to kill these 
little guys immediately. To do this, as I've said  before, have your laser 
burning the core before they come out. This makes it so that you start burning
and causing damage to it as it's coming out, and you can follow its path with 
the laser up to one of the 5 points where it preps to make the laceration, 
burning it the entire time. If you do this, you will kill it before it does 
the laceration. But you can't relax because there's still 4 more
to come after that one, so very quickly go back to the center and repeat the
same thing for all of them. Remember, don't let even ONE of them get past.

The next type of Pempti minions are blue ones that cause tiny tumors. In the 
last operation these were so stupidly fast that it was nigh impossible to get 
them all before they caused damage. But this time around, it seems Pempti 
knows that you're going for the XS and it's hellbent on keeping it away from 
you by making these guys a lot slower. This time around it's actually quite 
easy to kill them all before they create their tumors, but of course, you 
don't want this because if you don't let them, you won't get a high enough 
score. Therefore, what we actually want to do is let some of these guys live 
so that they can create some tumors to help boost our chain. Now if you'll 
notice, the laser has an area of effect. This means that you can actually kill
two of these little cores at the same time by pointing the laser BETWEEN them.
If you're good you can consistently kill all of them every time by doing this.
But this is not really what you want. You want extra points. Ideally, you want
to leave 2 or 3 alive so they create a lot of tumors that you can quickly 
treat. What I recommend doing is, as soon as all 5 come out, move your laser a
bit upwards, and place it in between two of the ones on the top part. You 
should very easily kill those two before they create their tumors. Then, move 
on to burning a third one. Again, you should easily kill this one. Now leave 
the other two alone. Switch to the gel and start applying it on the part of 
the lung where they're going to create their tumors. This will raise vitals a 
little bit plus prep you up for treating them. Once they move upwards and 
create them, quickly switch to your laser and start burning in that part 
before the gel disappears. The tumors will be gelled up as soon as you burn 
them. Obviously you can't actually see the tumors because the gel is blocking 
your view, but just burn wildly around that part and you should get most of 
them. When the gel disappears quickly get the few strangler tumors you missed 
and gel them up, then burn the two little cores before they get a chance to 
create a second set.

Be careful because unless you're some kind of legendary surgeon this doesn't
always go 100% smoothly. Pempti might get a chance to send out his first red
core out and cause a laceration, for example. Don't worry though, just keep 
going and suture it quickly after the 6th one's killed.

The third type of minion Pempti uses is the least dangerous one. They are 5
mini cores that slowly come out in a spiral and start spinning around and 
causing damage. The thing is, these pose absolutely NO problem if you're 
pointing the laser at the core (which you should be). If you are, you don't 
need to do anything. All 5 mini cores will die as they're coming out before 
they have a chance to know what's up. No sweat. The only time that these guys 
can cause damage is if you took a bit too long to treat the tumors and kill 
the 2 little cores from the previous section. Don't worry though, just laser 
them all. The patient's vitals will take a bit of a hit but it shouldn't be 
too much.

In any case, that's how you fight Pempti. If you always keep the laser on the
core you should be done before the time limit. Your only worry (other than
dying), is your score. Do not break your chain at any time. You want to end 
with a chain of around 150.

For my 6.6 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part39

------------------------------------------------------------------------------

6.7 - Fallen Heroes

Special Bonus

-Max chain over 150 - 500
-No mistakes - 500
-Completed with 200 left - 300
-Less than 5 membranes multiplied - 700

This is a fun operation. You'll be fighting Triti, Kyriaki, Deftera and 
Paraskevi in that order. One right after the other. Your priorities in this 
operations are firstly to get no misses, and secondly to not break your 
chain. Thirdly, even if you do the operation perfectly you might still not 
get enough points for the XS. So we'll have to do something about that. Read 
on. 

Alright, the first patient has Triti. It works the same way as it always has:

Triti is made up of two parts: membranes and thorns. What you want to do is
remove all of the membranes from the pancreas. However, each membrane is 
embedded into the organ by three thorns in each corner. To remove a membrane, 
first you must remove all of the thorns surrounding it. The thorns also 
regenerate after a few seconds.

The big problem, of course, is the way the membranes multiply. First of all,
notice that membranes only multiply based on what you do. Notice that if you
don't do anything, they will never multiply. This means that, while speed is
still important, it's also important to know what you are doing. 

Notice that membranes can only multiply when you remove one with the forceps.
Simply removing thorns does not allow them to. Now, the trick to Triti's
nightmarish multiplication is simply this: if there are two thorns adjacent
to each other, and there is a free space next to them, a new membrane will
appear there when you remove a membrane on any part of the organ. Therefore,
the trick lies in looking at the thorns. What you want to do is only remove
membranes when there are no adjacent thorns currently present. The exception 
is when there is no free space where two adjacent thorns can create a new 
membrane. This is either because there is already a membrane there, or because
it's the edge of the organ and there is no actual room for a membrane to 
appear.

You're going to be using your forceps almost exclusively here. I recommend 
that you grab the wiimote in a specific way here: place your thumb over the A
button and grip the remote firmly with it. That's right, you're going to have 
the A button constantly pressed throughout this operation. Never let go of it 
until you're done. If you have the A button pressed, then you can simply use 
the B button to grab and let go of things with the forceps. There is no need 
to press and let go of both buttons. Using a single button affords much 
greater control over the remote. When pulling thorns in general, remember 
that they are embedded in the organ. You want to pull UPWARDS when grabbing 
them before placing them on the tray. If you simply pull to the right, you 
will get a miss and forfeit the entire operation. This is important, so 
always remember to pull in an upward motion.

Now what follows is the way to XS this specific operation. Understanding Triti
and the meaning behind what you're going to do is good, but if you follow 
these directions you can XS the operation without having to understand it:

When you get inside there will be 10 membranes in a really funky pattern. Look
at the thorns. What we're going to use as a point of reference in these
directions is the rows of thorns. When you start there will be 4 rows. From 
top to bottom the first row will have 2, the second will have 4, the third 
will have 5, and the last will have 4.

From top to bottom we'll call these row 1, row 2, row 3 and row 4. Now, as 
soon as you can, I want you to remove the 3 middle thorns from row 3. Then 
quickly remove all of the thorns from row 1, and both middle thorns from row 
2. Then remove the two membranes at the very top. Now you only have 8 
membranes, and row 1 will be gone. No new membranes should have been created. 
Wait for all the thorns to regenerate while you inject some stabilizer.

Next, remove the left thorn from the top row, both left thorns from the middle
row, and both left thorns from the bottom row. If a thorn turns into gas 
ignore it for now. Then remove the rightmost thorn from the top row, and the 
second thorn starting from the right on the middle row. Now very quickly 
remove the three leftmost membranes. Drain any gas. Now you're down to 5 
membranes and no new ones should have been created. Wait for the thorns to 
regenerate while you raise vitals.

Remove either of the thorns on the top row, then the two leftmost ones on the
middle row, and the two leftmost ones on the bottom row. Remove both membranes
on the bottom left. We're down to 3 membranes. Again, wait for the thorns to
regenerate.

Remove the three thorns holding down the left membrane and remove it. Only two
membranes left. Wait for the thorns to renegerate, then quickly remove all 4
thorns holding them together and both membranes. Drain any gas after all
membranes are gone. That'll be it for this patient. Watch my video for the
demonstration of these instructions. Make the final suture and apply the 
bandage, make sure not to get a miss. You should have finished this part in 
less than a minute.

Now we move on to the next one. Get inside. It's Kyriaki. This one works 
exactly the same way as all the other Kyriakis so you should have no problems 
when dealing with it. However, remember that if you work too well and too 
quickly, Kyriaki won't have a chance to cause many lacerations. It's very easy
to miss the mark on the score needed for the XS in this operation, and to 
avoid this we will approach this part in such a way that we will let Kyriaki 
cause more damage than we normally would.

When you get inside you'll see a bunch of normal lacerations and a huge one.
Take care of them all. Remember to get COOLs in as many as possible. Don't 
raise vitals yet. I did raise them in the video because I suck and forgot, but
just because I suck doesn't mean you have to! After suturing them, two Kyriaki
will  appear. Suture the two lacerations, then find them with the ultrasound 
like always, and bring them up to the surface with the scalpel. Now wait a 
second. Don't kill them immediately. Remember what we said. Suture all of the
lacerations. What we're going to do at this point is raise vitals to max while
they're running around, and hopefully they will create a few more lacerations
that we can suture while we do that. Once vitals are maxed out, you can wait a
few seconds and see if they want to make some more lacerations, but if you see
that they stay passive for more than 5 seconds just kill them.

Now two more Kyriaki will spawn. Treat them exactly the same way as you did 
the last two. Remember to raise vitals when they're running around so they 
can make a few more lacerations than normal.

Now the boss Kyriaki will spawn, escorted by a single small one. He will 
create his trademark triple slash. Treat the 3 lacerations as you always have.
Now, normally you'd take care of the small Kyriaki first since it dies in one 
shot, but here you're going to kill the boss first so that the little one can 
run around for a while making lacerations as you're doing this. Once the boss 
is dead go ahead and kill the little guy. That'll be it for this patient. By 
the time you're done with this one I'd recommend your chain being above 100.

Next up we've got Deftera. This one's going to work the same way as the last
Deftera you treated, the only difference is this time random pools of blood 
will form that may obstruct you. You'll have to drain them periodically. Along
with Kyriaki, this is the other part where stall tactics could work to your 
benefit. Be careful when stalling with Deftera though, because it's much more 
dangerous. Having too many tumors sitting at once can potentially destroy 
vitals before you even know what happened. If you're lucky, Deftera will act 
so aggressively that you won't have to stall too much on purpose. If you're 
unlucky, both will be suicidal and hardly do anything.

Therefore, if you see that they're acting aggressively, just laser off every
tumor that appears as quickly as possible. If you see that they're being too
passive, it might be a good idea to let some tumors fester for a while and 
create additional tiny ones.

Go ahead and drain both pairs twice as fast as you can. Before the final
drainage, however, use your judgement. If you feel that they've caused a good
amount of trouble up till now, go for the kill. If you feel that they haven't
done much, stall for a bit and let them create some more tumors until you feel
relatively satisfied. If you want some kind of meterstick to go by, I'd say 
you can start killing them once your chain is above 150.

Remember, don't bother draining the Deftera if there are still tumors around. 
This will cause the drainage to fail and it will just be wasted time. 

When you're excising the Deftera, you know how it works already:
It gives you a little bit of time to get ready before the lines appear, so 
what I'd recommend is to start moving the scalpel where you THINK the lines 
will appear before they do so that you waste no time, and also so you're 
already comfortably making the right motion. Don't cut too fast because you 
want to get every dot on the first pass. If you do this fast enough the 
Deftera will only get a chance to create a single tumor. Burn this tumor off 
before you grab the Deftera with the forceps and place it on the tray. Then 
simply apply the synthetic membrane and gel over it. If vitals are really 
high, you can let it create some more tumors during this part to get some 
more points. But if vitals are, say, below 50, it's not really all that 
advisable.

Now it's time to move on to the final patient. You should have finished 
Deftera before the clock goes below 6. But if it has gone a bit below that, 
don't worry too much. You still have plenty of time. You have to finish 
before 3:20. This last part will be Paraskevi. It works exactly the same as 
the first Paraskevi you treated, except it's already in the patient's heart, 
so you have to be extra careful and not let it burrow even once. Stall tactics
are useless here, so just finish it off as quickly as you can. Major dangers 
are 1) picking up the wrong body and getting a miss 2) picking up a body when 
it's not paralyzed and obviously 3) letting a body burrow. So it's important 
to be careful in this operation.

Other than that, it's the same as the last time:

Pay attention to the tail. When it starts vibrating, it means it's about to
burrow, so quickly paralyze it before it gets the chance. Once it's paralyzed,
you'll have to switch to the scalpel and slash it's midsection to start 
killing it. Remember to slash along the MIDDLE. Any other part won't work. 
Once you do, it will turn into two bodies and create two lacerations. Before 
dealing with the lacerations, it's a good idea to paralyze the two bodies 
first so they don't burrow while you're busy suturing. Now, we're going to 
repeat the procedure and slash one of the two bodies. This will have the same 
effect as the last time. It will divide in two and cause two lacerations. Now 
you have 3 bodies to worry about. 

What you're going to do from here on out is concentrate on slashing ONLY the 
smallest body currently present. You will do this so you can reduce the number
of Paraskevi while keeping the number you have to worry about at one time down
to the most manageable level. Therefore, other than periodically paralyzing 
them with the laser, you will ignore the larger bodies and only slash the 
smallest ones. You should keep working the same way as you go on, paralyze, 
slash, paralyze all, suture, paralyze again, slash etc. However, once you 
slash a body down to the smallest size, that is, to only a tail and head, 
what you'll want to do is, instead of suturing the lacerations after paralzing
everything, ignore them for a bit, and instead, pick up the two smallest 
bodies comprised of only the head and tail as soon as you paralyze them. Only 
after these two are gone should you suture the lacerations. The reason is that
the smallest ones move too fast, plus by that point there will be a very large
number of them, and if you can get rid of two that fast and easily, it's 
better to get them out of the way first.

After that, move on to the smallest body currently present and start working 
that one down. Do everything exactly the same way until there are no more 
Paraskevi. Raise vitals whenever you want, but make sure that all the bodies 
are paralyzed when you do.

Sometimes there may be too many Paraskevis moving around to paralyze all of 
them. This is when their signals come in handy. You can actually choose to let
a body roam around as long as its tail isn't vibrating. However, the ones 
whose tails ARE vibrating should be lasered as soon as possible. As a matter 
of fact, if you're good at watching for those signals, it could be in your 
best interest to only paralyze bodies when absolutely necessary. This can 
certainly help to make things go faster for you.Finally, be careful when 
picking up the smallest bodies. Firstly, make sure they're paralyzed, and 
secondly, make sure that they aren't near another body, because then you 
could accidentally pick up the wrong one and get a miss. If you paralyze a 
tiny Paraskevi and a larger one near each other, it might be best to let the 
paralysis wear off so they can get some distance from each other.

Remember to get COOLs in as many sutures as possible. Score is very, very
important for the XS. If you get below 24000 points when it's all over, you 
will only get an S. Lastly don't forget to raise vitals to 99 on the last 
patient before you apply the bandage.

For my 6.7 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part40

------------------------------------------------------------------------------

6.8 - Vulnerability

Special Bonus

-Max chain over 180 - 500
-No mistakes - 800
-Completed with 150 left - 200
-20 COOLs earned - 500

Shit man, the music in this one is so epic I could cry. Definitely a contender
for the most fun operation in the game along with Pempti. This Savato works 
similarly to the one Blackwell had. Except it's more badass. The biggest 
challenge in XSing this operation will be hitting the score you need. 
If you score too low, you will only get an S. And getting the score you need
before the Healing Touch is  much harder in this one than it was back in 
chapter 5. The other problem is that the operation is so long that after a 
while you'll likely have some trademark Trauma Center jitters and wrist pain. 
It's important to get a few minutes of rest in between retries. It's also a 
good idea to pace yourself throughout the operation because as your wrist 
stamina gives out you'll get worse and worse. Try to relax your grip a little 
when there's a slight lull in the action. Be careful though, because if you've
been gripping the wiimote for a long time and suddenly relax and then tense 
up again, there's a chance you can get mild tendon spasms which can be a 
little offputting. You can also pause the game in the middle of the operation 
and rest for a few minutes. This is pretty effective in getting your wrist 
back in the game. Obviously I can't do that in the video, which sucks, but 
you can.

Get inside. You'll be at the heart and spot the Savato plus a bunch of its 
webs. You'll want to immediately switch to the scalpel and start severing 
those. Just put your cursor over a web and keep the button held down on it 
for a few seconds. However, your scalpel will melt each time you break one. 
It's fine though, just put your cursor over the next web and keep the button 
held down. If you do this, once your scalpel is usable again it will start 
cutting off the next web immediately. 

Be careful. When there's only one web left, Savato will create a new one plus
some minions. Obviously you want to burn these little guys with the laser but
you should do that ONLY if your scalpel is currently unusable. As SOON as you
can use your scalpel, ignore the mini-savatos and sever a web. Then go back to
burning them with the laser as the scalpel is recovering. As soon as it is, 
cut off the last web. Savato will escape down to the bottom of the heart and 
create a bunch of new webs. You'll have to repeat the same procedure to get 
rid of these, except this time he'll start creating new ones and sending out 
minions earlier. Just remember the rule: only laser the minions if your 
scalpel is currently unusable.

The transition from top to bottom and then to top again here is a great place 
to rest for a few seconds. It's not much, I know, but every little bit helps. 
Relax and place your hand on your lap or wherever you feel comfortable until 
you can use your tools again.

Once those webs are taken care of, Savato will escape back to the top part of
the heart and create a bunch more. You'll have to repeat the same procedure
a third time exactly the same way as before. Now, here, if this was the 
chapter 5 Savato I'd tell you to leave a minion alive when all the webs are 
gone so he can absorb it. But this Savato is powerful enough as it is, so I 
can't really recommend it. Plus, you won't be getting most of your point in 
that part.

When that's done you'll move on to the next phase. Here you will have to keep
using the laser to burn the Savato's outer layer. Since he likes to dodge a 
lot, what I recommend here is that, instead of holding the button down, you 
try to prick him for a second with it, and when he dodges, follow him but 
WITHOUT holding the button down, and only use the laser when he's reasonably 
immobile. Basically, you want to avoid wearing out the laser. One, because 
it's actually less effective than using it moderately, and two because you 
want to keep it on hand in case he decides to send out minions. Still, there 
are a few times where wearing out the laser completely could be good. For 
example, if it's already in the red, and Savato has just sent out his minions 
and you've burned them all off. Wearing it off completely before suturing the 
laceration and then injecting stabilizer once could very well work in your 
favor.

The thing you have to watch out for with Savato here is that when he's not 
being burned with the laser, his armor gradually gets tougher and tougher. 
This means that if you're not constantly on his ass it's only going to take 
you longer and longer to burn off that outer layer. If you've been 
particularly lenient on him it can take you forever to get back on track and 
it's reasonably easy to lose all of your time like this. Therefore, as SOON 
as the last web is severed and you move on to the laser phase, begin burning 
him. That's right, immediately. Your laser will probably be almost spent from 
the last phase but it doesn't matter. Burn him immediately even if it's only 
a little. Just don't let his shields regenerate too much.

Right, minions. That's one of his two modes of attack. He'll periodically 
create a long laceration from which little guys will pour out of. You'll want 
to get them with laser immediately before they get a chance to disperse. Then 
suture the laceration before going back to the offensive.

The other mode of attack is simply to cause 3 normal lacerations. Just suture
them as fast as you can before going back to the laser.

The strategy I recommend here is to be very aggressive. If the laser is white,
you should be burning Savato. ONLY give the laser a break when it's 
yellow-red. Don't let it sit there unused if it's completely recovered. When 
it IS recovering you should be pumping stabilizer. That's the strategy. Never 
let up. Even if vitals aren't at max, if the laser is white forget about the
syringe until it's yellow. In fact, sometimes it can even be better to 
completely ignore vitals unless they're really low and just try to get that 
shell off as soon as possible.

The exception to this, of course, is his attacks. Killing his minions and
suturing lacerations always takes priority over everything else, in that 
order. And the exception to THIS is, of course, if Dr. Hoffman is about to 
die, ignore everything and concentrate on getting vitals out of the teens.

When you've laser'd off the outer layer, which you will know because Savato 
will start doing some crazy ninja dodging when you try to laser him some more,
it'll be time to switch to the scalpel and slash him once. He moves around a 
lot so be careful. When you do that, he'll escape down to the bottom of the 
heart, and you'll have to repeat the procedure again. If you've been very 
aggressive you can get him to move out to the bottom before the clock goes 
below 8. Repeat the procedure in the exact same way and make him move to the 
top again. Now this will be the final round. Here I'd recommend to be as 
aggressive as you've been up till now and get his outer layer off as soon as 
possible, then cut him up. Now he'll be vulnerable. Raise vitals to higher 
than 30 if necessary, then inject the black serum into him. You may be tired 
by now. Be careful and make sure you don't get a miss. 

Now Savato will go balls out. Naomi will activate her god mode Healing Touch 
and Savato will start making a ridiculous amount of lacerations. This will be 
your chance to rack up some serious points before the operation is over. Do 
not activate your Healing Touch. Every time Savato slashes the heart vitals 
will drop like they're hot, but since Naomi's Healing Touch is so broken, you 
can suture lacerations as fast as you can and this will keep the vitals up. 
Just keep suturing. The longer you keep doing this, the better your chances 
of getting the XS. When the sutures start getting red, switch to your syringe 
and start raising vitals that way while they recover. Once they're white again
go back to suturing. When the time is at 2:45 or so, it'll be time to finish 
up. I had to finish up earlier in my video because youtube has a video limit 
of 10 minutes, but you don't have to. It's really up to you. Anyway now go 
ahead and activate the ultimate Healing Touch. Now time will stop completely.
Suture ALL of the remaining lacerations. When that's done, inject a FULL 
syringe of serum into the Savato. Make sure it's full. Otherwise it won't 
work. That'll be it. Vitals should already be at 99. Just do the final 
suture and apply the bandage. Be careful. Wouldn't want to get a miss here.

For my 6.7 XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part41

------------------------------------------------------------------------------

X.1 - Kyriaki (Derek)

Special Bonus

-No Healing Touch - 100
-Completed with 90 left - 600
-No mistakes - 900
-Max chain over 60 - 400

Alright, now we're on to extreme mode! You'll have to XS each operation twice
here. Once with Derek and once with Naomi. Why? No reason other than because
it shows both their ranks in the missions select screen. Also did I mention
Adam is a cool assistant? He's miles better than that bitch Angie.

Kyriaki isn't a very hard operation. The key thing to remember here is that 
you want to stall for as long as possible (i.e: until just before the clock 
goes below 1:30) while racking up as many points as you can.

Get inside the patient. You'll be greeted by 3 normal lacerations and 4 huge
ones. First suture the small ones as fast as you can. Then move on to the big
ones. You know how to deal with them by now. Drain the blood, bring both ends
together with the forceps, and suture. Remember to make many, many passes 
along the entire length of the laceration to get the COOLs. Look at the video 
to see what I'm talking about. You can get away with some GOODs throughout the 
operation but make sure you get as many COOLs as possible just to be on the 
safe side. In any case, you should be able to treat all of the wounds without 
having to raise vitals in between. When you've sutured the last laceration, 
quickly switch to your syringe and inject stabilizer while you wait for the 
Kyriaki to spawn. They won't take long. Probably less than a second. But you 
can get one injection in if you're fast enough.

3 Kyriaki will spawn, causing 3 lacerations. Suture them. Now, remember that 
we do not want to kill them too fast. We want to stall but at the same time be
doing something. That something will be 1) injecting stabilizer and 2) 
suturing lacerations. After you've sutured those first 3 start by raising 
vitals a bit. If lacerations get formed as you're doing this, go ahead and 
suture them as they come, then go back to the syringe. Once vitals are over 
60, we're going to bring out the Kyriaki to the surface. If you'd like to 
stay on the safe side, go ahead and raise vitals even higher than that.

Spam the ultrasound near the center of the organ. This should reveal all of 
them without much trouble. Cut them all out to the surface with the scalpel. 
This is probably the single most dangerous part of the operation if you 
decided to do it with 60 vitals. Once you've cut them all vitals will have 
probably gone down to 20, and you will have quite a few lacerations to worry 
about, plus the Kyriaki will continue to make more. Suture as fast as you can,
and if vitals drop into the teens, ignore everything else and get them out of 
there with the stabilizer, then go back to suturing. After a little bit of 
this all of the wounds will be treated and you should be back in control.

Vitals are still probably very low at this point. We're going to raise them 
all the way to 99 here while we let the Kyriaki run around. They will cause 
damage as you're doing this but don't worry. It's actually to your benefit. 
Suture any lacerations that come up as they appear and then go back to the 
syringe. Eventually you should be up to max vitals. When that happens, switch 
to the laser and kill two of the Kyriaki. Only two though! Leave the third 
one alive. When the second one kicks the bucket another pair of Kyriaki will 
spawn. Suture the two lacerations they create and then bring 'em up to the 
surface with the scalpel like you did last time. Treat all of the wounds. Now 
you're going to let these three guys run amok while you raise vitals to 99 
just like you did with the last 3. This time vitals won't have been as low, 
so you should get back up to 99 pretty fast.

Take a look at the clock. We're going to stall until it goes below 2:45, then
we'll kill them all with the laser. Now the boss Kyriaki will make his 
appearance escorted by a single small one. He will create his trademark triple
slash pattern and the little one will also make one. Suture all of these 
immediately. I recommend many passes to get COOLs on these. Around 10. I also 
recommend that you first suture the diagonal one that goes from left to right,
then the diagonal one that goes from right to left, and finally the middle 
one. In that order. I find that this helps so that the game doesn't think 
I'm suturing the wrong one when I meant to suture another.

Bring the boss and the small one up to the surface with the scalpel. Let them
run around and raise vitals for a little bit. Keep your eye on the clock. When
it gets close to 2:00, start killing the boss. Not the other one. Leave the
little one alone. The clock should be around 1:50 once the boss is dead. Now
vitals will probably be low. Start raising them to 99 while the little guy 
runs around. Once vitals are at 99 OR the clock goes below 1:40, kill him.

Now you have 10 seconds to finish up. You need to finish before 1:30, so 
quickly make the final suture, gell, and apply the bandage. That'll be it.

For my X.1 (Derek) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part42

------------------------------------------------------------------------------

X.1 - Kyriaki (Naomi)

Special Bonus

-No Healing Touch - 100
-Completed with 90 left - 600
-No mistakes - 900
-Max chain over 60 - 400

The operations with Naomi are pretty much identical to the ones with Derek. 
The only difference in this Kyriaki one is that the placement of the 
lacerations at the start is slightly altered. Doesn't really matter though. 
I did them both because I felt like it. So there.

Kyriaki isn't a very hard operation. The key thing to remember here is that 
you want to stall for as long as possible (i.e: until just before the clock 
goes below 1:30) while racking up as many points as you can.

Get inside the patient. You'll be greeted by 3 normal lacerations and 4 huge
ones. First suture the small ones as fast as you can. Then move on to the big
ones. You know how to deal with them by now. Drain the blood, bring both ends
together with the forceps, and suture. Remember to make many, many passes 
along the entire length of the laceration to get the COOLs. Look at the video 
to see what I'm talking about. You can get away with some GOODs throughout the 
operation but make sure you get as many COOLs as possible just to be on the 
safe side. In any case, you should be able to treat all of the wounds without 
having to raise vitals in between. When you've sutured the last laceration, 
quickly switch to your syringe and inject stabilizer while you wait for the 
Kyriaki to spawn. They won't take long. Probably less than a second. But you 
can get one injection in if you're fast enough.

3 Kyriaki will spawn, causing 3 lacerations. Suture them. Now, remember that 
we do not want to kill them too fast. We want to stall but at the same time be
doing something. That something will be 1) injecting stabilizer and 2) 
suturing lacerations. After you've sutured those first 3 start by raising 
vitals a bit. If lacerations get formed as you're doing this, go ahead and 
suture them as they come, then go back to the syringe. Once vitals are over 
60, we're going to bring out the Kyriaki to the surface. If you'd like to 
stay on the safe side, go ahead and raise vitals even higher than that.

Spam the ultrasound near the center of the organ. This should reveal all of 
them without much trouble. Cut them all out to the surface with the scalpel. 
This is probably the single most dangerous part of the operation if you 
decided to do it with 60 vitals. Once you've cut them all vitals will have 
probably gone down to 20, and you will have quite a few lacerations to worry 
about, plus the Kyriaki will continue to make more. Suture as fast as you can,
and if vitals drop into the teens, ignore everything else and get them out of 
there with the stabilizer, then go back to suturing. After a little bit of 
this all of the wounds will be treated and you should be back in control.

Vitals are still probably very low at this point. We're going to raise them 
all the way to 99 here while we let the Kyriaki run around. They will cause 
damage as you're doing this but don't worry. It's actually to your benefit. 
Suture any lacerations that come up as they appear and then go back to the 
syringe. Eventually you should be up to max vitals. When that happens, switch 
to the laser and kill two of the Kyriaki. Only two though! Leave the third 
one alive. When the second one kicks the bucket another pair of Kyriaki will 
spawn. Suture the two lacerations they create and then bring 'em up to the 
surface with the scalpel like you did last time. Treat all of the wounds. Now 
you're going to let these three guys run amok while you raise vitals to 99 
just like you did with the last 3. This time vitals won't have been as low, 
so you should get back up to 99 pretty fast.

Take a look at the clock. We're going to stall until it goes below 2:45, then
we'll kill them all with the laser. Now the boss Kyriaki will make his 
appearance escorted by a single small one. He will create his trademark triple
slash pattern and the little one will also make one. Suture all of these 
immediately. I recommend many passes to get COOLs on these. Around 10. I also 
recommend that you first suture the diagonal one that goes from left to right,
then the diagonal one that goes from right to left, and finally the middle 
one. In that order. I find that this helps so that the game doesn't think 
I'm suturing the wrong one when I meant to suture another.

Bring the boss and the small one up to the surface with the scalpel. Let them
run around and raise vitals for a little bit. Keep your eye on the clock. When
it gets close to 2:00, start killing the boss. Not the other one. Leave the
little one alone. The clock should be around 1:50 once the boss is dead. Now
vitals will probably be low. Start raising them to 99 while the little guy 
runs around. Once vitals are at 99 OR the clock goes below 1:40, kill him.

Now you have 10 seconds to finish up. You need to finish before 1:30, so 
quickly make the final suture, gell, and apply the bandage. That'll be it.

For my X.1 (Naomi) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part43

------------------------------------------------------------------------------

X.2 - Deftera (Derek)

Special Bonus

-No Healing Touch - 100
-Completed with 90 left - 500
-No mistakes - 900
-Max chain over 70 - 500

Interestingly enough, Deftera is one extreme operation in which stalling isn't
recommended. Because of this, XSing it isn't very hard. All you have to do is
kill it as fast as you can and you will most likely have the points needed for
the rank. The points you need are close to 8000 though you can score a bit 
below that and still get the XS.

This operation will work in two parts. First the stomach with a single 
Deftera, and then in the lung with 2 Deftera.

When you get inside the patient's stomach you'll be greeted by 6 tumors. Laser
them all quickly. If you do it fast enough they won't have a chance to create
little ones. Remember that we will never stall throughout this operation. The
only possible exception is in the very unlikely scenario that you finish with
less than a chain of 70. Don't even worry about this though, since, like I 
said, it probably won't happen.

Now the Deftera type A and type B are going to run around for a while and 
create tumors every now and then. Keep your laser on hand and burn them off 
immediately when they appear. Try not to give them a chance to create tiny 
ones or to stick  around for too long since it hurts the patient's vitals. 
After a little while (or a long while depending on your luck), the Deftera 
type A and type B will meet and begin eating each other. Now before you do 
anything, make sure that you've burned off any tumors that may have been 
created. Switch to your drain and keep it steady over the colliding Deftera. 
Keep the button pressed. You should do it fast enough that it takes a while 
for the drain to start working. Like I said, don't drain the Deftera if there 
are still tumors around. This will cause the drainage to fail and it will 
just be wasted time. Pools of blood will form periodically so drain them when 
you get the chance. If you're currently draining a Deftera or burning a tumor 
and a pool forms somewhere, just ignore it until you're done. The only 
exception is if the pool is obstructing the tumor or the Deftera.

You'll need to drain the Deftera 3 times, so repeat the same procedure twice
again. When you drain for the third time, quickly change to your scalpel. 
Circular scalpel lines will appear that will allow you to excise the Deftera.
It gives you a little bit of time to get ready before the lines appear, so 
what I'd recommend is to start moving the scalpel where you THINK the lines 
will appear before they do so that you waste no time, and also so you're 
already comfortably making the right motion. Don't cut too fast because you 
want to get every dot on the first pass. If you do this fast enough the 
Deftera will only get a chance to create a single tumor. Burn this tumor off 
before you grab the Deftera with the forceps and place it on the tray. Then 
simply apply the synthetic membrane and gel over it. If you're fast you can 
inject a single round of stabilizer before the screen fades. It's the same 
patient so vitals carry over. Make the suture and apply the bandage. Make sure
you never break your chain even once.

Now we'll move on to the lung. Be careful with the lobectomy here. It's not a
straight line. Once inside, you'll have to deal with 2 Deftera.

The procedure is basically the same as the last one, except, obviously, 
there's going to be double the amount of tumors that you have to laser off, 
and the vitals will drop much quicker because when two of the same type meet 
they cause a nice bit of damage. Basically what you want to do here is, while 
the Deftera are moving around, burn off any tumors that get created 
immediately, and in between this, when there are no tumors present, be 
draining off blood pools and injecting stabilizer. The window of opportunity 
when there are no tumors present is very  small so you'll have to be fast 
with that syringe. The main thing here is that  you should ALWAYS be: either 
burning off tumors, or draining blood, or injecting  stabilizer. Never catch 
yourself doing nothing unless vitals are at 99. Since  there are two Deftera, 
there is a chance that while you're draining one, the  other creates tumors 
which can screw you up. But don't despair. Simply continue taking care of the 
tumors and wait for your chance when both pairs of types are  eating each 
other.

After a while, a type A and type B should meet. When this happens, the chances
of the other pair meeting are very, very high. So what you want to do is drain
both of them one right after the other. But first make absolutely sure that
there are no tumors present, otherwise it won't work. Do this two more times, 
but on the third drain, don't drain the second pair. Instead switch to the 
scalpel and excise the first Deftera like you did back in the stomach. Remove 
it, apply the synthetic membrane, and gel. By this time the other pair has 
probably separated and started moving again. This is fine. Just keep working 
like you have up till now and when they meet, drain and excise them like 
normal. If all has gone well your chain should be above 70 and the clock 
should be around 3:00. This will net you the XS almost guaranteed.

For my X.2 (Derek) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part44

------------------------------------------------------------------------------

X.2 - Deftera (Naomi)

Special Bonus

-No Healing Touch - 100
-Completed with 90 left - 500
-No mistakes - 900
-Max chain over 70 - 500

The only difference between Naomi's and Derek's Deftera is that the number of
tumors at the start and their locations are slightly altered. Doesn't really
matter though.

Interestingly enough, Deftera is one extreme operation in which stalling isn't
recommended. Because of this, XSing it isn't very hard. All you have to do is
kill it as fast as you can and you will most likely have the points needed for
the rank. The points you need are close to 8000 though you can score a bit 
below that and still get the XS.

This operation will work in two parts. First the stomach with a single 
Deftera, and then in the lung with 2 Deftera.

When you get inside the patient's stomach you'll be greeted by 6 tumors. Laser
them all quickly. If you do it fast enough they won't have a chance to create
little ones. Remember that we will never stall throughout this operation. The
only possible exception is in the very unlikely scenario that you finish with
less than a chain of 70. Don't even worry about this though, since, like I 
said, it probably won't happen.

Now the Deftera type A and type B are going to run around for a while and 
create tumors every now and then. Keep your laser on hand and burn them off 
immediately when they appear. Try not to give them a chance to create tiny 
ones or to stick  around for too long since it hurts the patient's vitals. 
After a little while (or a long while depending on your luck), the Deftera 
type A and type B will meet and begin eating each other. Now before you do 
anything, make sure that you've burned off any tumors that may have been 
created. Switch to your drain and keep it steady over the colliding Deftera. 
Keep the button pressed. You should do it fast enough that it takes a while 
for the drain to start working. Like I said, don't drain the Deftera if there 
are still tumors around. This will cause the drainage to fail and it will 
just be wasted time. Pools of blood will form periodically so drain them when 
you get the chance. If you're currently draining a Deftera or burning a tumor 
and a pool forms somewhere, just ignore it until you're done. The only 
exception is if the pool is obstructing the tumor or the Deftera.

You'll need to drain the Deftera 3 times, so repeat the same procedure twice
again. When you drain for the third time, quickly change to your scalpel. 
Circular scalpel lines will appear that will allow you to excise the Deftera.
It gives you a little bit of time to get ready before the lines appear, so 
what I'd recommend is to start moving the scalpel where you THINK the lines 
will appear before they do so that you waste no time, and also so you're 
already comfortably making the right motion. Don't cut too fast because you 
want to get every dot on the first pass. If you do this fast enough the 
Deftera will only get a chance to create a single tumor. Burn this tumor off 
before you grab the Deftera with the forceps and place it on the tray. Then 
simply apply the synthetic membrane and gel over it. If you're fast you can 
inject a single round of stabilizer before the screen fades. It's the same 
patient so vitals carry over. Make the suture and apply the bandage. Make sure
you never break your chain even once.

Now we'll move on to the lung. Be careful with the lobectomy here. It's not a
straight line. Once inside, you'll have to deal with 2 Deftera.

The procedure is basically the same as the last one, except, obviously, 
there's going to be double the amount of tumors that you have to laser off, 
and the vitals will drop much quicker because when two of the same type meet 
they cause a nice bit of damage. Basically what you want to do here is, while 
the Deftera are moving around, burn off any tumors that get created 
immediately, and in between this, when there are no tumors present, be 
draining off blood pools and injecting stabilizer. The window of opportunity 
when there are no tumors present is very  small so you'll have to be fast 
with that syringe. The main thing here is that  you should ALWAYS be: either 
burning off tumors, or draining blood, or injecting  stabilizer. Never catch 
yourself doing nothing unless vitals are at 99. Since  there are two Deftera, 
there is a chance that while you're draining one, the  other creates tumors 
which can screw you up. But don't despair. Simply continue taking care of the 
tumors and wait for your chance when both pairs of types are  eating each 
other.

After a while, a type A and type B should meet. When this happens, the chances
of the other pair meeting are very, very high. So what you want to do is drain
both of them one right after the other. But first make absolutely sure that
there are no tumors present, otherwise it won't work. Do this two more times, 
but on the third drain, don't drain the second pair. Instead switch to the 
scalpel and excise the first Deftera like you did back in the stomach. Remove 
it, apply the synthetic membrane, and gel. By this time the other pair has 
probably separated and started moving again. This is fine. Just keep working 
like you have up till now and when they meet, drain and excise them like 
normal. If all has gone well your chain should be above 70 and the clock 
should be around 3:00. This will net you the XS almost guaranteed.

For my X.2 (Naomi) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part45

------------------------------------------------------------------------------

X.3 - Triti (Derek)

Special Bonus

-No Healing Touch - 100
-Completed with 180 left - 700
-No mistakes - 900
-Less than 6 membranes multiplied - 300

This Triti can be a very hard operation because if you work too well and don't
let any membranes multiply, you will not get the points needed for the XS. The
trick lies in looking at what exactly gives you points in this operation. 
There are two things that give you points. Removing membranes and draining 
gas. But draining gas gives many more. Therefore our strategy will consist in 
draining as much as possible. The score you need for XS is 6400 points. Read 
on to see how to do this.

In case you missed it the first 3 times, I'm going to paste the Triti 
explanation again:

Triti is made up of two parts: membranes and thorns. What you want to do is
remove all of the membranes from the pancreas. However, each membrane is 
embedded into the organ by three thorns in each corner. To remove a membrane,
first you must remove all of the thorns surrounding it. The thorns also 
regenerate after a few seconds.

The big problem, of course, is the way the membranes multiply. First of all,
notice that membranes only multiply based on what you do. Notice that if you
don't do anything, they will never multiply. This means that, while speed is
still important, it's also important to know what you are doing. 

Notice that membranes can only multiply when you remove one with the forceps.
Simply removing thorns does not allow them to. Now, the trick to Triti's
nightmarish multiplication is simply this: if there are two thorns adjacent
to each other, and there is a free space next to them, a new membrane will
appear there when you remove a membrane on any part of the organ. Therefore,
the trick lies in looking at the thorns. What you want to do is only remove
membranes when there are no adjacent thorns currently present. The exception 
is when there is no free space where two adjacent thorns can create a new 
membrane. This is either because there is already a membrane there, or 
because it's the edge of the organ and there is no actual room for a membrane 
to appear.

You're going to be using your forceps almost exclusively here. I recommend 
that you grab the wiimote in a specific way here: place your thumb over the 
A button and grip the remote firmly with it. That's right, you're going to 
have the A button constantly pressed throughout this operation. Never let go 
of it until you're done. If you have the A button pressed, then you can simply
use the B button to grab and let go of things with the forceps. There is no 
need to press and let go of both buttons. Using a single button affords much 
greater control over the remote. When pulling thorns in general, remember that
they are embedded in the organ. You want to pull UPWARDS when grabbing them 
before placing them on the tray. If you simply pull to the right, you will 
get a miss and forfeit the entire operation. This is important, so always 
remember to pull in an upward motion.

Now what follows is the way to XS this specific operation. Understanding Triti
and the meaning behind what you're going to do is good, but if you follow 
these directions you can XS the operation without having to understand it:

What we're going to use as a point of reference here are the rows of thorns. 
If you look at them horizontally, there are 5 rows of them. From top to 
bottom, row 1 has four thorns, row 2 has three thorns, row 3 has two thorns, 
row 4 has three thorns, and row 5 has two thorns.

As soon as you can use your tools remove the two leftmost thorns of row 1, and
the leftmost thorn of row 2. Then remove ALL of the thorns in row 4. Next,
remove the two remaining thorns in row 2. It's important that you remove them
in that order. Now quickly remove the two membranes in the upper-left corner.
No new membranes should have been created when you do. Now, don't stop for a 
second and remove the two thorns at the very top. Then very quickly remove 
both of the membranes in the upper-right corner. Now you can drain any gas 
that may be floating around.

Now there should only be 5 membranes left and no new ones should have been
created. Raise vitals for a bit and let the thorns regenerate. Now remove ALL
of the thorns except for the two at the very bottom. Then pick up the two top
membranes. Ignore the gas for a bit and quickly remove the thorn on the right,
followed by the rightmost membrane. Drain the gas now.

Time should be around 4:30 and now there will only be a measly 2 membranes 
left. However, if you remove them both you will not get the XS. Therefore 
we're going to use the following strategy: notice that draining gas gives you 
points! When you've gotten Triti down to 2 membranes, rather than letting it 
multiply, you can simply remove those 4 thorns over and over and over again, 
and there's a very, very high chance that at least one of them will turn into 
gas every time. You can keep doing this as long as you want before going in 
for the kill. The longer you keep doing it, the higher your score will be. 
You don't really need to do it that many times for the XS though. I'd say a 
bit less than 10. When your chain is at 60 you can probably go ahead and kill
it.

Look at the video for the demonstration of the directions I gave you plus the
draining strategy at the end.

For my X.3 (Derek) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part46

------------------------------------------------------------------------------

X.3 - Triti (Naomi)

Special Bonus

-No Healing Touch - 100
-Completed with 180 left - 700
-No mistakes - 900
-Less than 6 membranes multiplied - 300

It would have been kind of cool if Naomi's Triti was slightly different than
Derek's but alas, it's identical.

This Triti can be a very hard operation because if you work too well and don't
let any membranes multiply, you will not get the points needed for the XS. The
trick lies in looking at what exactly gives you points in this operation. 
There are two things that give you points. Removing membranes and draining 
gas. But draining gas gives many more. Therefore our strategy will consist in 
draining as much as possible. The score you need for XS is 6400 points. Read 
on to see how to do this.

In case you missed it the first 3 times, I'm going to paste the Triti 
explanation again:

Triti is made up of two parts: membranes and thorns. What you want to do is
remove all of the membranes from the pancreas. However, each membrane is 
embedded into the organ by three thorns in each corner. To remove a membrane,
first you must remove all of the thorns surrounding it. The thorns also 
regenerate after a few seconds.

The big problem, of course, is the way the membranes multiply. First of all,
notice that membranes only multiply based on what you do. Notice that if you
don't do anything, they will never multiply. This means that, while speed is
still important, it's also important to know what you are doing. 

Notice that membranes can only multiply when you remove one with the forceps.
Simply removing thorns does not allow them to. Now, the trick to Triti's
nightmarish multiplication is simply this: if there are two thorns adjacent
to each other, and there is a free space next to them, a new membrane will
appear there when you remove a membrane on any part of the organ. Therefore,
the trick lies in looking at the thorns. What you want to do is only remove
membranes when there are no adjacent thorns currently present. The exception 
is when there is no free space where two adjacent thorns can create a new 
membrane. This is either because there is already a membrane there, or 
because it's the edge of the organ and there is no actual room for a membrane 
to appear.

You're going to be using your forceps almost exclusively here. I recommend 
that you grab the wiimote in a specific way here: place your thumb over the 
A button and grip the remote firmly with it. That's right, you're going to 
have the A button constantly pressed throughout this operation. Never let go 
of it until you're done. If you have the A button pressed, then you can simply
use the B button to grab and let go of things with the forceps. There is no 
need to press and let go of both buttons. Using a single button affords much 
greater control over the remote. When pulling thorns in general, remember that
they are embedded in the organ. You want to pull UPWARDS when grabbing them 
before placing them on the tray. If you simply pull to the right, you will 
get a miss and forfeit the entire operation. This is important, so always 
remember to pull in an upward motion.

Now what follows is the way to XS this specific operation. Understanding Triti
and the meaning behind what you're going to do is good, but if you follow 
these directions you can XS the operation without having to understand it:

What we're going to use as a point of reference here are the rows of thorns. 
If you look at them horizontally, there are 5 rows of them. From top to 
bottom, row 1 has four thorns, row 2 has three thorns, row 3 has two thorns, 
row 4 has three thorns, and row 5 has two thorns.

As soon as you can use your tools remove the two leftmost thorns of row 1, and
the leftmost thorn of row 2. Then remove ALL of the thorns in row 4. Next,
remove the two remaining thorns in row 2. It's important that you remove them
in that order. Now quickly remove the two membranes in the upper-left corner.
No new membranes should have been created when you do. Now, don't stop for a 
second and remove the two thorns at the very top. Then very quickly remove 
both of the membranes in the upper-right corner. Now you can drain any gas 
that may be floating around.

Now there should only be 5 membranes left and no new ones should have been
created. Raise vitals for a bit and let the thorns regenerate. Now remove ALL
of the thorns except for the two at the very bottom. Then pick up the two top
membranes. Ignore the gas for a bit and quickly remove the thorn on the right,
followed by the rightmost membrane. Drain the gas now.

Time should be around 4:30 and now there will only be a measly 2 membranes 
left. However, if you remove them both you will not get the XS. Therefore 
we're going to use the following strategy: notice that draining gas gives you 
points! When you've gotten Triti down to 2 membranes, rather than letting it 
multiply, you can simply remove those 4 thorns over and over and over again, 
and there's a very, very high chance that at least one of them will turn into 
gas every time. You can keep doing this as long as you want before going in 
for the kill. The longer you keep doing it, the higher your score will be. 
You don't really need to do it that many times for the XS though. I'd say a 
bit less than 10. When your chain is at 60 you can probably go ahead and kill
it.

Look at the video for the demonstration of the directions I gave you plus the
draining strategy at the end.

For my X.3 (Naomi) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part47

------------------------------------------------------------------------------

X.4 - Tetarti (Derek)

Special Bonus

-No Healing Touch - 100
-Completed with 60 left - 900
-Max chain over 20 - 1000

This had the potential to be the hardest operation in the game, but they 
decided to pussify it and let you get misses and still get the XS. So as it 
is, it's really easy and the only obstacle you have is reaching the max chain
needed before you can start missing to your heart's content.

When you get inside the patient, you'll see three diverticula. Normally I'd 
tell you to inject them all one right after the other, but these ain't yo 
momma's diverticula. These are extreme diverticula. The effect of the serum 
wears off frighteningly fast. If you're very fast you can inject and excise 
two of them at the same time like I did in the video, but if you want to be 
safe just take care of them one at a time. That is to say, inject the serum, 
cut it with the scalpel, move on to the second one, inject and cut, move to 
the third, inject and cut. Then remove all of them one right after the other 
like you'd normally do, apply the synthetic membranes and gel. Before the 
Tetarti appear you'll get a chance to raise vitals to max, so do it.

By the time you're done with all the tumors your chain should be at 17. That
means that you only need to make sure you get past the first wave without
missing, and then you can go crazy.

Most of the waves are the faster Tetarti that constantly spew gas.
This means that you don't need to worry about color, because it's always
there. All you need to worry about is hitting them with the injection. Since
they're much faster, their tendency for sharp turns becomes even more of a
problem. The general rules from the normal Tetarti still pretty much apply to
this one as well:

Generally speaking Tetarti will make sharp turns when it hits the edges of the
organ or one of the other bodies. Usually when it makes a sharp turn it will
not make another one immediately unless it hits something. Use this to your
advantage. If you notice that it has just made a turn, you can be pretty
confident that it will keep moving forward, which makes it easier to inject
safely. If you see that it's about to hit an edge or another one of the bodies
it's probably a good idea to wait a little until after he's made the turn just
to be safe. The "trick" here is to only inject a body immediately after it has
made a turn (and it's not about to hit anything). These Tetarti will also not
burrow after a while. They will only keep running around.

So if you don't want to get misses here's the deal: 1) keep a steady hand 2)
don't rush if you're on a fast wave, because they never burrow and the effect 
of the serum lasts for much longer than you might realize 3)only inject 
immediately AFTER they have made a turn.

For the slow Tetarti, you have to watch for their color at the start. 
Injecting them is a bit easier since they're slower, but you have to be 
quicker because they burrow after only a short while.

The longer Tetarti run around, the lower vitals go. But don't worry too much.
You get a chance to raise vitals a lot in between waves, and so you should. 
You can get as many as 3 full injections in between waves.

Alternatively, if you don't want to avoid misses on even the first wave, you 
can get your chain all the way up to 20 on the diverticula alone. To do this, 
first inject all 3 of them with the right serum one right after the other. I 
recommend starting with the green one. Let the serum on each one wear off, 
then inject them a second time. This time cutting each one with the scalpel. 
Then proceed as normal. The thing is that by injecting them twice, instead of 
greeting the first wave with a chain of 17, you do it with a chain of 20. 
Thus you can start missing immediately without fear.

I've done the Derek video with no misses, and the Naomi video with many misses
using the diverticula strategy in the above paragraph to show you how it can 
be done both ways.

The final suture in this operation is very weird. To get the COOL on it, you
shouldn't make the suture lines throughout the entire opening like you 
normally do, but instead, only make them in the very center. Check the video 
to see what I mean.

For my X.4 (Derek) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part48

------------------------------------------------------------------------------

X.4 - Tetarti (Naomi)

Special Bonus

-No Healing Touch - 100
-Completed with 60 left - 900
-Max chain over 20 - 1000

This had the potential to be the hardest operation in the game, but they 
decided to pussify it and let you get misses and still get the XS. So as it 
is, it's really easy and the only obstacle you have is reaching the max chain
needed before you can start missing to your heart's content.

When you get inside the patient, you'll see three diverticula. Normally I'd 
tell you to inject them all one right after the other, but these ain't yo 
momma's diverticula. These are extreme diverticula. The effect of the serum 
wears off frighteningly fast. If you're very fast you can inject and excise 
two of them at the same time like I did in the video, but if you want to be 
safe just take care of them one at a time. That is to say, inject the serum, 
cut it with the scalpel, move on to the second one, inject and cut, move to 
the third, inject and cut. Then remove all of them one right after the other 
like you'd normally do, apply the synthetic membranes and gel. Before the 
Tetarti appear you'll get a chance to raise vitals to max, so do it.

By the time you're done with all the tumors your chain should be at 17. That
means that you only need to make sure you get past the first wave without
missing, and then you can go crazy.

Most of the waves are the faster Tetarti that constantly spew gas.
This means that you don't need to worry about color, because it's always
there. All you need to worry about is hitting them with the injection. Since
they're much faster, their tendency for sharp turns becomes even more of a
problem. The general rules from the normal Tetarti still pretty much apply to
this one as well:

Generally speaking Tetarti will make sharp turns when it hits the edges of the
organ or one of the other bodies. Usually when it makes a sharp turn it will
not make another one immediately unless it hits something. Use this to your
advantage. If you notice that it has just made a turn, you can be pretty
confident that it will keep moving forward, which makes it easier to inject
safely. If you see that it's about to hit an edge or another one of the bodies
it's probably a good idea to wait a little until after he's made the turn just
to be safe. The "trick" here is to only inject a body immediately after it has
made a turn (and it's not about to hit anything). These Tetarti will also not
burrow after a while. They will only keep running around.

So if you don't want to get misses here's the deal: 1) keep a steady hand 2)
don't rush if you're on a fast wave, because they never burrow and the effect 
of the serum lasts for much longer than you might realize 3)only inject 
immediately AFTER they have made a turn.

For the slow Tetarti, you have to watch for their color at the start. 
Injecting them is a bit easier since they're slower, but you have to be 
quicker because they burrow after only a short while.

The longer Tetarti run around, the lower vitals go. But don't worry too much.
You get a chance to raise vitals a lot in between waves, and so you should. 
You can get as many as 3 full injections in between waves.

Alternatively, if you don't want to avoid misses on even the first wave, you 
can get your chain all the way up to 20 on the diverticula alone. To do this, 
first inject all 3 of them with the right serum one right after the other. I 
recommend starting with the green one. Let the serum on each one wear off, 
then inject them a second time. This time cutting each one with the scalpel. 
Then proceed as normal. The thing is that by injecting them twice, instead of 
greeting the first wave with a chain of 17, you do it with a chain of 20. 
Thus you can start missing immediately without fear.

I've done the Derek video with no misses, and the Naomi video with many misses
using the diverticula strategy in the above paragraph to show you how it can 
be done both ways.

The final suture in this operation is very weird. To get the COOL on it, you
shouldn't make the suture lines throughout the entire opening like you 
normally do, but instead, only make them in the very center. Check the video 
to see what I mean.

For my X.4 (Naomi) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part49

------------------------------------------------------------------------------

X.5 - Pempti (Derek)

Special Bonus

-No Healing Touch - 100
-Completed with 120 left - 800
-No mistakes - 900
-Max chain over 100 - 200

You'd think extreme Pempti would be some kind of ruthless death-on-wheels 
speed demon. But turns out he's actually very similar to the last one you 
fought. So we're going to approach this operation the same way as the last 
Pempti:

Go inside. Don't worry about raising vitals yet. When you're in, immediately
fill up your syringe with the serum and inject it into the circle of Pempti 
cells before it disappears. After injecting once, switch to the stabilizer 
and raise vitals to max with a single injection on the right. Then switch 
back to the serum and inject the circle a second time. This will cause the 
Pempti core to reveal itself. Switch to your new laser now and begin burning 
the core.

Once you get the first OK it'll be time to fight Pempti mano a mano. To kill 
it, you have to keep burning the core with the laser. But Pempti defends 
itself by sending out its minions to wreak havoc on the patient's lung. You 
can't ignore the minions or they'll kill the poor guy in mere seconds. You 
have to kill them with the laser as well.

As a general rule, always, always, ALWAYS have your laser activated and right
on the core when you're not dealing with minions. This is because this is 
where they come out from. you don't really know what Pempti will send out next
so having the laser activated and pointing on the core puts you in the best 
possible position to fight whatever it's going to send out on the shortest 
notice.

Now Pempti has 3 kinds of minions that it likes to send out. The first type 
are red mini-cores that cause lacerations. These are the ones that can cause 
the most damage if you don't take care of them, but they're also not too hard 
to deal with. Pempti will send 5 of these, one right after the other. They 
will move from the center (that is, where the core is located) to one of 5 
spots around it, then shoot upwards after a second and create a laceration on 
the lung. You don't want this to happen. Your goal is to kill every one of 
these 5 small cores BEFORE they get a chance to create their laceration. This 
isn't hard to do if you're on the ball, but the timeframe from their creation 
to the laceration is a little bit strict so your laser NEEDS to be active and 
pointing at the core BEFORE it sends the first one out. Otherwise there's a 
good chance that you won't have enough time to kill it before it does damage. 
You can probably suture one or two lacerations if you're fast enough, but 
ideally you don't want to give Pempti a chance to create even ONE. The problem
is that if you try to suture after all 5 of them have gone out, it's probable 
that you will not be pointing the laser at the core when it sends out the 
next wave, meaning you will NOT have time to deal with it, and you will be 
even closer to being overwhelmed. So it's in your best interest to kill these 
little guys immediately. To do this, as I've said before, have your laser 
burning the core before they come out. This makes it so that you start 
burning and causing damage to it as it's coming out, and you can
follow its path with the laser up to one of the 5 points where it preps to 
make the laceration, burning it the entire time. If you do this, you will 
kill it before it does the laceration. But you can't relax because there's 
still 4 more to come after that one, so very quickly go back to the center 
and repeat the same thing for all of them. Remember, don't let even ONE of 
them get past.

The next type of Pempti minions are blue ones that cause tiny tumors. Now if 
you'll notice, the laser has an area of effect. This means that you can 
actually kill two of these little cores at the same time by pointing the 
laser BETWEEN them. If you're good, you can consistently kill all of them 
every time by doing this. But this is not really what you want. You want 
extra points.

Believe it or not, extreme Pempti happens to be easier than the others in this 
regard. Since it has so much HP (thus the operation lasts longer), you 
actually only need to leave a single one of these blue mini cores alive each 
time and you will get the points you need. Therefore, the way you want to 
treat these little guys is as follows:

Your laser should always be pointing at the core. As soon as you see it send 
out these mini cores, bring your laser up a little bit and place it in between
the two mini cores there. That should kill them both in one shot, then quickly
move to the right and place the laser in between the two mini cores there. 
That should also kill them both in one shot. If you do this correctly, all the
mini cores except for the single one on the far left should die before they 
can attack. Before the survivor attacks, switch to the gel and begin applying 
it over the part where you think it will create its tumors. Not only does this
raise vitals slightly but it preps you up to treat them because if you laser 
them while the gel is still active the holes will be patched up instantly. 
Obviously if the gel hasn't disappeared your view is blocked, so you kind of 
have to guess where the tumors are and do sweeping motions with the laser up 
and down that part. If you miss one or two, don't worry, just treat them 
immediately before killing the survivor or quickly right afterwards. Since 
it's only one guy, you shouldn't have problems patching up the strangler 
tumors and killing it before it gets a chance to create a second set.

The third type of minion Pempti uses is the least dangerous one. They are 5
mini cores that slowly come out in a spiral and start spinning around and 
causing damage. The thing is, these pose absolutely NO problem if you're 
pointing the laser at the core (which you should be). If you are, you don't 
need to do anything. All 5 mini cores will die as they're coming out before 
they have a chance to know what's up. No sweat.

These guys are notable in that, right after killing all five, it's a pretty 
good opportunity to raise vitals back up to max. I'd recommend doing only a 
quick half-injection before going back to lasering the core though. Vitals 
shouldn't be dropping too much in this operation, so a half injection should 
be pretty much all you need to get them back up to 99. You can do a full 
injection if you want, though that might be pushing it a tiny bit.

In any case, that's how you fight Pempti. If you keep the laser at the core 
you should finish before the time limit. You shouldn't even have to raise 
vitals much or at all at the end.

For my X.5 (Derek) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part50

------------------------------------------------------------------------------

X.5 - Pempti (Naomi)

Special Bonus

-No Healing Touch - 100
-Completed with 120 left - 800
-No mistakes - 900
-Max chain over 100 - 200

There seems to be zero difference between Derek's and Naomi's Pempti. Oh well.
I still made videos for both of them, so what are you gonna do about it.

You'd think extreme Pempti would be some kind of ruthless death-on-wheels 
speed demon. But turns out he's actually very similar to the last one you 
fought. So we're going to approach this operation the same way as the last 
Pempti:

Go inside. Don't worry about raising vitals yet. When you're in, immediately
fill up your syringe with the serum and inject it into the circle of Pempti 
cells before it disappears. After injecting once, switch to the stabilizer 
and raise vitals to max with a single injection on the right. Then switch 
back to the serum and inject the circle a second time. This will cause the 
Pempti core to reveal itself. Switch to your new laser now and begin burning 
the core.

Once you get the first OK it'll be time to fight Pempti mano a mano. To kill 
it, you have to keep burning the core with the laser. But Pempti defends 
itself by sending out its minions to wreak havoc on the patient's lung. You 
can't ignore the minions or they'll kill the poor guy in mere seconds. You 
have to kill them with the laser as well.

As a general rule, always, always, ALWAYS have your laser activated and right
on the core when you're not dealing with minions. This is because this is 
where they come out from. you don't really know what Pempti will send out next
so having the laser activated and pointing on the core puts you in the best 
possible position to fight whatever it's going to send out on the shortest 
notice.

Now Pempti has 3 kinds of minions that it likes to send out. The first type 
are red mini-cores that cause lacerations. These are the ones that can cause 
the most damage if you don't take care of them, but they're also not too hard 
to deal with. Pempti will send 5 of these, one right after the other. They 
will move from the center (that is, where the core is located) to one of 5 
spots around it, then shoot upwards after a second and create a laceration on 
the lung. You don't want this to happen. Your goal is to kill every one of 
these 5 small cores BEFORE they get a chance to create their laceration. This 
isn't hard to do if you're on the ball, but the timeframe from their creation 
to the laceration is a little bit strict so your laser NEEDS to be active and 
pointing at the core BEFORE it sends the first one out. Otherwise there's a 
good chance that you won't have enough time to kill it before it does damage. 
You can probably suture one or two lacerations if you're fast enough, but 
ideally you don't want to give Pempti a chance to create even ONE. The problem
is that if you try to suture after all 5 of them have gone out, it's probable 
that you will not be pointing the laser at the core when it sends out the 
next wave, meaning you will NOT have time to deal with it, and you will be 
even closer to being overwhelmed. So it's in your best interest to kill these 
little guys immediately. To do this, as I've said before, have your laser 
burning the core before they come out. This makes it so that you start 
burning and causing damage to it as it's coming out, and you can
follow its path with the laser up to one of the 5 points where it preps to 
make the laceration, burning it the entire time. If you do this, you will 
kill it before it does the laceration. But you can't relax because there's 
still 4 more to come after that one, so very quickly go back to the center 
and repeat the same thing for all of them. Remember, don't let even ONE of 
them get past.

The next type of Pempti minions are blue ones that cause tiny tumors. Now if 
you'll notice, the laser has an area of effect. This means that you can 
actually kill two of these little cores at the same time by pointing the 
laser BETWEEN them. If you're good, you can consistently kill all of them 
every time by doing this. But this is not really what you want. You want 
extra points.

Believe it or not, extreme Pempti happens to be easier than the others in this 
regard. Since it has so much HP (thus the operation lasts longer), you 
actually only need to leave a single one of these blue mini cores alive each 
time and you will get the points you need. Therefore, the way you want to 
treat these little guys is as follows:

Your laser should always be pointing at the core. As soon as you see it send 
out these mini cores, bring your laser up a little bit and place it in between
the two mini cores there. That should kill them both in one shot, then quickly
move to the right and place the laser in between the two mini cores there. 
That should also kill them both in one shot. If you do this correctly, all the
mini cores except for the single one on the far left should die before they 
can attack. Before the survivor attacks, switch to the gel and begin applying 
it over the part where you think it will create its tumors. Not only does this
raise vitals slightly but it preps you up to treat them because if you laser 
them while the gel is still active the holes will be patched up instantly. 
Obviously if the gel hasn't disappeared your view is blocked, so you kind of 
have to guess where the tumors are and do sweeping motions with the laser up 
and down that part. If you miss one or two, don't worry, just treat them 
immediately before killing the survivor or quickly right afterwards. Since 
it's only one guy, you shouldn't have problems patching up the strangler 
tumors and killing it before it gets a chance to create a second set.

The third type of minion Pempti uses is the least dangerous one. They are 5
mini cores that slowly come out in a spiral and start spinning around and 
causing damage. The thing is, these pose absolutely NO problem if you're 
pointing the laser at the core (which you should be). If you are, you don't 
need to do anything. All 5 mini cores will die as they're coming out before 
they have a chance to know what's up. No sweat.

These guys are notable in that, right after killing all five, it's a pretty 
good opportunity to raise vitals back up to max. I'd recommend doing only a 
quick half-injection before going back to lasering the core though. Vitals 
shouldn't be dropping too much in this operation, so a half injection should 
be pretty much all you need to get them back up to 99. You can do a full 
injection if you want, though that might be pushing it a tiny bit.

In any case, that's how you fight Pempti. If you keep the laser at the core 
you should finish before the time limit. You shouldn't even have to raise 
vitals much or at all at the end.

For my X.5 (Naomi) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part51

------------------------------------------------------------------------------

X.6 - Paraskevi (Derek)

Special Bonus

-No Healing Touch - 100
-Completed with 90 left - 800
-No mistakes - 900
-Max chain over 50 - 200

Now this is more like it! Paraskevi is actually mildly hard. The tricky part
about this operation is that the patient's vitals cap at 50, and cutting
Paraskevi depletes almost all of it. Therefore you have to raise vitals back 
up to max after cut. Not only that, but extreme Paraskevi is actually bigger 
than normal so it's gonna take longer to kill it. Plus, it happens to be much
more burrow-happy so you have to laser it constantly. These three things make 
it so that finishing before the time limit is up can be challenging.

The key to finishing this operation quickly is to realize that there is no
penalty for letting Paraskevi burrow and move on to another organ (as long as
it doesn't burrow into the heart). You don't have to laser all of the bodies 
you see. You CAN kill them all in the first organ and still get the XS if 
you're good, but it tends to be easier to let some of the bodies run away so 
that you lose less time lasering constantly. Generally speaking the ones you 
should let run away are the bigger ones.

When you get inside the patient you'll find 3 small lacerations. Suture them
before doing anything else, then raise vitals up to 50 before Paraskevi 
appears.

You'll be treating it more or less as you always have:

Laser the tail to paralyze the Paraskevi. Once it's paralyzed, you'll have to 
switch to the scalpel and slash its midsection to start killing it. Remember 
to slash along the MIDDLE. Any other part won't work. Once you do, it will 
turn into two bodies and create two lacerations. Suture these quickly. Vitals 
will now be critical, so you'll have to raise them back up to 50. You will 
have to do this each and every single time you slash a body. Now here, it's 
probably a good idea to let one of those two bodies burrow so that you have 
one less thing to worry about and can do everything faster. The time limit of 
1:30 is a bit strict.

In any case, scalpel one of the 2 bodies now moving around.
What you're going to do from here on out is concentrate on slashing ONLY the 
smallest body currently present. You will do this so you can reduce the number
of Paraskevi while keeping the number you have to worry about at one time down
to the most manageable level. Therefore, other than periodically paralyzing 
them with the laser, you will ignore the larger bodies and only slash the 
smallest ones. You should keep working the same way as you go on, paralyze, 
slash, paralyze all, suture, paralyze again, slash etc. However, once you 
slash a body down to the smallest size, that is, to only a tail and head, 
what you'll want to do is, instead of suturing the lacerations after paralzing
everything, ignore them for a bit, and instead, pick up the two smallest 
bodies comprised of only the head and tail as soon as you paralyze them.

Well. That's not really a hard and fast rule here. Truth is the vitals are
dangerously low right after slashing a body, and the lacerations have the
potential to bring it down to 0. Use your judgement. For example, if you can't
pick up the 2 tiny bodies quickly and see vitals in the single digits, it's
probably a better idea to suture them/inject stabilizer before picking them up
rather than risk dying.

Always slash a single Paraskevi body. If you paralyze two near each other, 
it's probably better to let them get some distance from each other. If you
accidentally get two at the same time, it will definitely kill the patient. So
take it easy and just deal with them one at a time, raising vitals to max 
before every slash.

Sometimes there may be too many Paraskevis moving around to paralyze all of 
them. This is when their signals come in handy. You can actually choose to 
let a body roam around as long as its tail isn't vibrating. However, the ones 
whose tails ARE vibrating should be lasered as soon as possible. As a matter 
of fact, if you're good at watching for those signals, it could be in your 
best interest to only paralyze bodies when absolutely necessary. This can 
certainly help to make things go faster for you.Finally, be careful when 
picking up the smallest bodies. Firstly, make sure they're paralyzed, and 
secondly, make sure that they aren't near another body, because then you 
could accidentally pick up the wrong one and get a miss. If you paralyze a 
tiny Paraskevi and a larger one near each other, it might be best to let the 
paralysis wear off so they can get some distance from each other.

When you're done with an organ, remember to suture everything quickly and wait
until you're at the next organ before raising vitals. Paraskevi take a while 
to appear after the transition from one organ to the next and if you already 
maxed out vitals you'd be stuck doing nothing but waiting, which isn't good 
considering how strict the time limit is. I recommend only letting it move 
one organ. 

When you're done there's a chance that you might be cutting it really close on
the clock. Ideally you should be finished with over 1:40 so that you can raise
vitals to max before finishing up, but if you have less than that, just make 
sure you finish before it's below 1:30. You MIGHT not get the XS because those
few points do make a difference, but at least there's a chance. Whereas if you
miss the time special bonus there is no chance of getting the XS. If something
like the patient's vitals makes such a difference then it follows that getting
COOLs also makes quite a difference. At this stage you should be pretty good 
at suturing, so it's not much of a problem.

For my X.6 (Derek) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part52

------------------------------------------------------------------------------

X.6 - Paraskevi (Naomi)

Special Bonus

-No Healing Touch - 100
-Completed with 90 left - 800
-No mistakes - 900
-Max chain over 50 - 200

The only difference between Derek's and Naomi's Paraskevi is that the 
positions of the lacerations at the start are slightly altered. Doesn't 
really matter. Other than that it's the same.

Now this is more like it! Paraskevi is actually mildly hard. The tricky part
about this operation is that the patient's vitals cap at 50, and cutting
Paraskevi depletes almost all of it. Therefore you have to raise vitals back 
up to max after cut. Not only that, but extreme Paraskevi is actually bigger 
than normal so it's gonna take longer to kill it. Plus, it happens to be much
more burrow-happy so you have to laser it constantly. These three things make 
it so that finishing before the time limit is up can be challenging.

The key to finishing this operation quickly is to realize that there is no
penalty for letting Paraskevi burrow and move on to another organ (as long as
it doesn't burrow into the heart). You don't have to laser all of the bodies 
you see. You CAN kill them all in the first organ and still get the XS if 
you're good, but it tends to be easier to let some of the bodies run away so 
that you lose less time lasering constantly. Generally speaking the ones you 
should let run away are the bigger ones.

When you get inside the patient you'll find 3 small lacerations. Suture them
before doing anything else, then raise vitals up to 50 before Paraskevi 
appears.

You'll be treating it more or less as you always have:

Laser the tail to paralyze the Paraskevi. Once it's paralyzed, you'll have to 
switch to the scalpel and slash its midsection to start killing it. Remember 
to slash along the MIDDLE. Any other part won't work. Once you do, it will 
turn into two bodies and create two lacerations. Suture these quickly. Vitals 
will now be critical, so you'll have to raise them back up to 50. You will 
have to do this each and every single time you slash a body. Now here, it's 
probably a good idea to let one of those two bodies burrow so that you have 
one less thing to worry about and can do everything faster. The time limit of 
1:30 is a bit strict.

In any case, scalpel one of the 2 bodies now moving around.
What you're going to do from here on out is concentrate on slashing ONLY the 
smallest body currently present. You will do this so you can reduce the number
of Paraskevi while keeping the number you have to worry about at one time down
to the most manageable level. Therefore, other than periodically paralyzing 
them with the laser, you will ignore the larger bodies and only slash the 
smallest ones. You should keep working the same way as you go on, paralyze, 
slash, paralyze all, suture, paralyze again, slash etc. However, once you 
slash a body down to the smallest size, that is, to only a tail and head, 
what you'll want to do is, instead of suturing the lacerations after paralzing
everything, ignore them for a bit, and instead, pick up the two smallest 
bodies comprised of only the head and tail as soon as you paralyze them.

Well. That's not really a hard and fast rule here. Truth is the vitals are
dangerously low right after slashing a body, and the lacerations have the
potential to bring it down to 0. Use your judgement. For example, if you can't
pick up the 2 tiny bodies quickly and see vitals in the single digits, it's
probably a better idea to suture them/inject stabilizer before picking them up
rather than risk dying.

Always slash a single Paraskevi body. If you paralyze two near each other, 
it's probably better to let them get some distance from each other. If you
accidentally get two at the same time, it will definitely kill the patient. So
take it easy and just deal with them one at a time, raising vitals to max 
before every slash.

Sometimes there may be too many Paraskevis moving around to paralyze all of 
them. This is when their signals come in handy. You can actually choose to 
let a body roam around as long as its tail isn't vibrating. However, the ones 
whose tails ARE vibrating should be lasered as soon as possible. As a matter 
of fact, if you're good at watching for those signals, it could be in your 
best interest to only paralyze bodies when absolutely necessary. This can 
certainly help to make things go faster for you.Finally, be careful when 
picking up the smallest bodies. Firstly, make sure they're paralyzed, and 
secondly, make sure that they aren't near another body, because then you 
could accidentally pick up the wrong one and get a miss. If you paralyze a 
tiny Paraskevi and a larger one near each other, it might be best to let the 
paralysis wear off so they can get some distance from each other.

When you're done with an organ, remember to suture everything quickly and wait
until you're at the next organ before raising vitals. Paraskevi take a while 
to appear after the transition from one organ to the next and if you already 
maxed out vitals you'd be stuck doing nothing but waiting, which isn't good 
considering how strict the time limit is. I recommend only letting it move 
one organ. 

When you're done there's a chance that you might be cutting it really close on
the clock. Ideally you should be finished with over 1:40 so that you can raise
vitals to max before finishing up, but if you have less than that, just make 
sure you finish before it's below 1:30. You MIGHT not get the XS because those
few points do make a difference, but at least there's a chance. Whereas if you
miss the time special bonus there is no chance of getting the XS. If something
like the patient's vitals makes such a difference then it follows that getting
COOLs also makes quite a difference. At this stage you should be pretty good 
at suturing, so it's not much of a problem.

For my X.6 (Naomi) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part53

------------------------------------------------------------------------------

X.7 - Savato (Derek)

Special Bonus

-Completed with 90 left - 500
-No mistakes - 1000
-Max chain over 200 - 500

This is the last operation in the game. They've even given you the awesome 
final boss music so enjoy it!

The difference between Derek and Naomi here is substantial compared to the 
other operations, but we'll get to that later. For both of them, your 
objective will be to get Savato down to its knees as fast as you can.

A problem with this operation is that it's so long that after a while you'll
likely have some trademark Trauma Center jitters and wrist pain. It's 
important to get a few minutes of rest in between retries. It's also a good 
idea to pace yourself throughout the operation because as your wrist stamina 
gives out you'll get worse and worse. Try to relax your grip a little when 
there's a slight lull in the action. Be careful though, because if you've 
been gripping the wiimote for a long time and suddenly relax and then tense 
up again, there's a chance you can get mild tendon spasms which can be a 
little offputting. You can also pause the game in the middle of the operation
and rest for a few minutes. This is pretty effective in getting your wrist 
back in the game. Obviously I can't do that in the video, which sucks and it 
really shows at the end. Hell, I even botched the final suture on Derek and 
got a GOOD. But oh well what can ya do. Not all of us can be legendary 
surgeons with wrists of steel.

Get inside. You'll be at the heart and spot the Savato plus a bunch of its 
webs. You'll want to immediately switch to the scalpel and start severing 
those. Just put your cursor over a web and keep the button held down on it 
for a few seconds. However, your scalpel will melt each time you break one. 
A nice thing to do here to get through these webs fast is this: use your 
scalpel on the places where two strands intersect. This will make it so that 
you cut one, and severely weaken the other. Then, while the scalpel is 
recovering, put the cursor over the strand you weakened and alternate between 
pressing the Z button and the B button quickly. This will activate the scalpel
in very, very short bursts even though it's unusable. However, since the 
strand has already been weakened so much, this short burst is all you need to 
cut it. With this tactic you can cut two webs per scalpel. In fact, since the 
first web only has 4 strands, you can sever them all before Savato has a 
chance to create new ones or bring out minions.

Once they're all severed Savato will move on to the bottom of the heart and
create more webs. You'll have to keep severing them in the same way. Now here,
he may create either 5 webs, or 4. I'm not really sure what the deciding 
factor on how many he makes here is. It seems to be random. However, if he 
only makes 4 you luck out because you can sever them all before he gets a 
chance to create a new one just like in the first web. If he makes 5 you'll 
have to deal with one new strand and some minions before you can scalpel the 
last one.

Obviously you want to burn these little guys with the laser but
you should do that ONLY if your scalpel is currently unusable. As SOON as you
can use your scalpel, ignore the mini-savatos and sever a web. Then go back to
burning them with the laser as the scalpel is recovering. As soon as it is, 
cut off the last one. Savato will escape again to the top of the heart and 
create a bunch of new webs. You'll have to repeat the same procedure to get 
rid of these, except this time there'll be more so he'll get a chance to make 
new ones and minions. Just remember the rule: only laser the minions if your 
scalpel is currently unusable.

The transition from top to bottom and then to top again here is a great place 
to rest for a few seconds. It's not much, I know, but every little bit helps. 
Relax and place your hand on your lap or wherever you feel comfortable until 
you can use your tools again.

Make sure all the mini-savatos are dead before you cut off the last strand.
When that's done you'll move on to the next phase. Here you will have to keep
using the laser to burn the Savato's outer layer. Since he likes to dodge a 
lot, what I recommend here is that, instead of holding the button down, you 
try to prick him for a second with it, and when he dodges, follow him but 
WITHOUT holding the button down, and only use the laser when he's reasonably 
immobile. Basically, you want to avoid wearing out the laser. One, because 
it's actually less effective than using it moderately, and two because you 
want to keep it on hand in case he decides to send out minions. Still, there 
are a few times where wearing out the laser completely could be good. For 
example, if it's already in the red, and Savato has just sent out his minions 
and you've burned them all off. Wearing it off completely before suturing 
the laceration and then injecting stabilizer once could very well work in 
your favor.

Right, minions. That's one of his two modes of attack. He'll periodically 
create a long laceration from which little guys will pour out of. You'll want 
to get them with laser immediately before they get a chance to disperse. 
Then suture the laceration before going back to the offensive.

The other mode of attack is simply to cause 3 normal lacerations. Just suture
them as fast as you can before going back to the laser.

The strategy I recommend here is to be very aggressive. If the laser is white,
you should be burning Savato. ONLY give the laser a break when it's 
yellow-red. Don't let it sit there unused if it's completely recovered. When 
it IS recovering you should be pumping stabilizer. That's the strategy. Never 
let up. Even if vitals aren't at max, if the laser is white forget about the 
syringe until it's yellow. In fact, sometimes it can even be better to 
completely ignore vitals unless they're really low and just try to get that 
shell off as soon as possible.

The exception to this, of course, is his attacks. Killing his minions and
suturing lacerations always takes priority over everything else, in that 
order. And the exception to THIS is, of course, if the patient is about to 
die, ignore everything and concentrate on getting vitals out of the teens.

Be mildly careful when suturing lacerations in this phase. Remember that you
need a chain of 200 for the XS, so try not to get a BAD before that.

When you've laser'd off the outer layer, which you will know because Savato 
will start doing some crazy ninja dodging when you try to laser him some more,
it'll be time to switch to the scalpel and slash him once. He moves around a 
lot so be careful. When you do that, he'll escape down to the bottom of the 
heart, and you'll have to repeat the procedure again. If you've been very 
aggressive you can get him to move out to the bottom before the clock goes 
below 8. Of course this also depends a little on how aggressive HE is acting. 
Sometimes he attacks so much that you can't help but take longer. Don't worry 
about it. Repeat the procedure in the exact same way and make him move to the 
top again. Now this will be the final round. Here I'd recommend to be as 
aggressive as you've been up till now and get his outer layer off as soon as 
possible, then cut him up. Now he'll be vulnerable. In a best case scenario 
the clock should be over 6:30. But the actual time limit is 1:30, so if you 
took a couple minutes longer, don't sweat it. Raise vitals to higher than 30 
if necessary, then inject the black serum into him. You may be tired by now. 
Be careful and make sure you don't get a miss. 

Now Savato will go balls out. This is the phase in which you're going to stall
to rack up points for the XS. Right after you inject the serum, he'll create
8 lacerations and automatically bring down vitals to 30. Here Derek will
automatically activate his Healing Touch. If you're fast, though, you can 
inject almost a full syringe of stabilizer before it gets activated.

Now Derek's Healing Touch might not be as broken as Naomi's since it doesn't
heal automatically. However, it slows down time more so he can definitely hold
his own. What this means is that Savato will create lacerations at a much 
slower pace than if he were under the influence of Naomi's Healing Touch. What
you're going to do is start suturing lacerations as fast as you can. You 
should already be over chain 200 so don't worry too much if you get a couple 
BADs here and there. Since Derek's Healing Touch doesn't heal, the only way 
to raise vitals is by injecting stabilizer. Therefore, you'll want to inject 
a round or two in between Savato's attacks. I recommend suturing lacerations 
while he's in the middle of his attack, and only inject stabilizer after his 
attack animation has ended. The reason is because it seems the syringe gets 
slowed down if you use it during the animation, but the sutures do not.

If you suture reasonably fast, then you should be treating the lacerations 
faster than Savato can create them. Therefore, after a little while, you will 
have more time to inject stabilizer. This means that you can slowly raise 
vitals all the way up to 99 during this part. How long should you keep 
stalling in this phase? It's up to you. The longer you keep doing this, the 
higher your score will be. The time limit is 1:30, so if you wanted to get 
the highest score possible you'd stall until around 1:45 or so. Of course, 
this is far from necessary. If you want to end a little sooner feel free to 
do so. I had no choice but to end sooner myself, since youtube has a video 
limit of 10 minutes. In any case, once you're satisfied, simply activate the 
ultimate Healing Touch. Now time will stop completely. Suture ALL of the 
remaining lacerations. When that's done, inject a FULL syringe of serum into 
the Savato. Make sure it's full. Otherwise it won't  work. That'll be it. 
Vitals should already be at 99.

All that'll be left is the final suture and bandage. Chances are your wrist is
very tired by now. I know mine was. Just look at that sorry excuse for a final
suture. It might be a good idea to pause the game for a second here to get 
your bearings back, not to mention get the feeling back in your wrist. The 
final suture here is actually a little weird. Normally you'd make the lines 
wider than the opening, but that seems to only net you a GOOD here. To get 
the cool you actually have to make very narrow lines. Narrower than the 
opening. Check my Naomi vid to see what I mean. Not the Derek one though 
because I suck and got a GOOD there. Still, it doesn't actually matter if you 
get GOODs or BADs here, as you should have way more points than you need. 
However, if you get a miss you can forget about getting the XS.

For my X.7 (Derek) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part54

------------------------------------------------------------------------------

X.7 - Savato (Naomi)

Special Bonus

-Completed with 90 left - 500
-No mistakes - 1000
-Max chain over 200 - 500

This is the last operation in the game. They've even given you the awesome 
final boss music so enjoy it!

The difference between Derek and Naomi here is substantial compared to the 
other operations, but we'll get to that later. For both of them, your 
objective will be to get Savato down to its knees as fast as you can.

A problem with this operation is that it's so long that after a while you'll
likely have some trademark Trauma Center jitters and wrist pain. It's 
important to get a few minutes of rest in between retries. It's also a good 
idea to pace yourself throughout the operation because as your wrist stamina 
gives out you'll get worse and worse. Try to relax your grip a little when 
there's a slight lull in the action. Be careful though, because if you've 
been gripping the wiimote for a long time and suddenly relax and then tense 
up again, there's a chance you can get mild tendon spasms which can be a 
little offputting. You can also pause the game in the middle of the operation
and rest for a few minutes. This is pretty effective in getting your wrist 
back in the game. Obviously I can't do that in the video, which sucks and it 
really shows at the end. Hell, I even botched the final suture on Derek and 
got a GOOD. But oh well what can ya do. Not all of us can be legendary 
surgeons with wrists of steel.

Get inside. You'll be at the heart and spot the Savato plus a bunch of its 
webs. You'll want to immediately switch to the scalpel and start severing 
those. Just put your cursor over a web and keep the button held down on it 
for a few seconds. However, your scalpel will melt each time you break one. 
A nice thing to do here to get through these webs fast is this: use your 
scalpel on the places where two strands intersect. This will make it so that 
you cut one, and severely weaken the other. Then, while the scalpel is 
recovering, put the cursor over the strand you weakened and alternate between 
pressing the Z button and the B button quickly. This will activate the scalpel
in very, very short bursts even though it's unusable. However, since the 
strand has already been weakened so much, this short burst is all you need to 
cut it. With this tactic you can cut two webs per scalpel. In fact, since the 
first web only has 4 strands, you can sever them all before Savato has a 
chance to create new ones or bring out minions.

Once they're all severed Savato will move on to the bottom of the heart and
create more webs. You'll have to keep severing them in the same way. Now here,
he may create either 5 webs, or 4. I'm not really sure what the deciding 
factor on how many he makes here is. It seems to be random. However, if he 
only makes 4 you luck out because you can sever them all before he gets a 
chance to create a new one just like in the first web. If he makes 5 you'll 
have to deal with one new strand and some minions before you can scalpel the 
last one.

Obviously you want to burn these little guys with the laser but
you should do that ONLY if your scalpel is currently unusable. As SOON as you
can use your scalpel, ignore the mini-savatos and sever a web. Then go back to
burning them with the laser as the scalpel is recovering. As soon as it is, 
cut off the last one. Savato will escape again to the top of the heart and 
create a bunch of new webs. You'll have to repeat the same procedure to get 
rid of these, except this time there'll be more so he'll get a chance to make 
new ones and minions. Just remember the rule: only laser the minions if your 
scalpel is currently unusable.

The transition from top to bottom and then to top again here is a great place 
to rest for a few seconds. It's not much, I know, but every little bit helps. 
Relax and place your hand on your lap or wherever you feel comfortable until 
you can use your tools again.

Make sure all the mini-savatos are dead before you cut off the last strand.
When that's done you'll move on to the next phase. Here you will have to keep
using the laser to burn the Savato's outer layer. Since he likes to dodge a 
lot, what I recommend here is that, instead of holding the button down, you 
try to prick him for a second with it, and when he dodges, follow him but 
WITHOUT holding the button down, and only use the laser when he's reasonably 
immobile. Basically, you want to avoid wearing out the laser. One, because 
it's actually less effective than using it moderately, and two because you 
want to keep it on hand in case he decides to send out minions. Still, there 
are a few times where wearing out the laser completely could be good. For 
example, if it's already in the red, and Savato has just sent out his minions 
and you've burned them all off. Wearing it off completely before suturing 
the laceration and then injecting stabilizer once could very well work in 
your favor.

Right, minions. That's one of his two modes of attack. He'll periodically 
create a long laceration from which little guys will pour out of. You'll want 
to get them with laser immediately before they get a chance to disperse. 
Then suture the laceration before going back to the offensive.

The other mode of attack is simply to cause 3 normal lacerations. Just suture
them as fast as you can before going back to the laser.

The strategy I recommend here is to be very aggressive. If the laser is white,
you should be burning Savato. ONLY give the laser a break when it's 
yellow-red. Don't let it sit there unused if it's completely recovered. When 
it IS recovering you should be pumping stabilizer. That's the strategy. Never 
let up. Even if vitals aren't at max, if the laser is white forget about the 
syringe until it's yellow. In fact, sometimes it can even be better to 
completely ignore vitals unless they're really low and just try to get that 
shell off as soon as possible.

The exception to this, of course, is his attacks. Killing his minions and
suturing lacerations always takes priority over everything else, in that 
order. And the exception to THIS is, of course, if the patient is about to 
die, ignore everything and concentrate on getting vitals out of the teens.

Be mildly careful when suturing lacerations in this phase. Remember that you
need a chain of 200 for the XS, so try not to get a BAD before that.

When you've laser'd off the outer layer, which you will know because Savato 
will start doing some crazy ninja dodging when you try to laser him some more,
it'll be time to switch to the scalpel and slash him once. He moves around a 
lot so be careful. When you do that, he'll escape down to the bottom of the 
heart, and you'll have to repeat the procedure again. If you've been very 
aggressive you can get him to move out to the bottom before the clock goes 
below 8. Of course this also depends a little on how aggressive HE is acting. 
Sometimes he attacks so much that you can't help but take longer. Don't worry 
about it. Repeat the procedure in the exact same way and make him move to the 
top again. Now this will be the final round. Here I'd recommend to be as 
aggressive as you've been up till now and get his outer layer off as soon as 
possible, then cut him up. Now he'll be vulnerable. In a best case scenario 
the clock should be over 6:30. But the actual time limit is 1:30, so if you 
took a couple minutes longer, don't sweat it. Raise vitals to higher than 30 
if necessary, then inject the black serum into him. You may be tired by now. 
Be careful and make sure you don't get a miss. 

Now Savato will go balls out. This is the phase in which you're going to stall
to rack up points for the XS. Right after you inject the serum, he'll create
8 lacerations and automatically bring down vitals to 30. Here Naomi will
automatically activate her Healing Touch. If you're fast, though, you can 
inject almost a full syringe of stabilizer before it gets activated.

Since Naomi's Healing Touch is so god-mode, all you have to do is keep 
suturing and that will keep the patient alive while you rack up points. 
However, it doesn't slow down time as much as Derek's, so it's very difficult,
maybe even impossible, to keep up with how fast Savato will create 
lacerations. This means that there will be a huge number of them everywhere. 
This, coupled with how tired your wrist is likely to be, makes it very 
difficult to avoid getting BADs in at least some sutures. But don't sweat it, 
because at this point you should already be over the 200 chain that you need 
for the XS.

Another thing is that you'll be suturing so fast here that the tool will
actually start to wear down. Once you see it become red, it's best to switch 
to the syringe for a second and raise vitals that way while the sutures 
recover. Don't do it for too long though. Just one or two injections. Because 
the stabilizer just can't keep up with how fast extreme Savato drains vitals.

In any case, just keep suturing. How long should you stall in this phase?
It's up to you. The longer you keep doing this, the higher your score will be.
The time limit is 1:30, so if you wanted to get the highest score possible 
you'd stall until around 1:45 or so. Of course, this is far from necessary. 
If you want to end a little sooner feel free to do so. I had no choice but to 
end sooner myself, since youtube has a video limit of 10 minutes. In any 
case, once you're satisfied, simply activate the ultimate Healing Touch. Now 
time will stop completely. Suture ALL of the remaining lacerations. When 
that's done, inject a FULL syringe of serum into the Savato. Make sure it's 
full. Otherwise it won't work. That'll be it. Vitals should already be at 99.

All that'll be left is the final suture and bandage. Chances are your wrist is
very tired by now. I know mine was. Just look at that sorry excuse for a final
suture in the Derek video. It might be a good idea to pause the game for a 
second here to get your bearings back, not to mention get the feeling back in
your wrist. The final suture here is actually a little weird. Normally you'd 
make the lines wider than the opening, but that seems to only net you a GOOD 
here. To get the COOL you actually have to make very narrow lines. Narrower 
than the opening. Check my Naomi vid to see what I mean. Not the Derek one 
though because I suck and got a GOOD there. Still, it doesn't actually matter 
if you get GOODs or BADs here, as you should have way more points than you 
need. However, if you get a miss you can forget about getting the XS.

For my X.7 (Naomi) XS video go to:
http://scathingaccuracy.com/article.asp?guide/2008.09.07-S.A._Renegade-part55

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Conclusion

Well now, the game is over and all the operations XS'd. I have to say that I 
was surprised at how easy it all was in this playthrough. Whereas on my
first playthrough operations like Triti or extreme Paraskevi took me like 50 
retries and many shot nerves to XS, I consistently managed it on my first or
second try this time. Guess that's a testament to how well designed it is. It
certainly seems more lenient than New Blood or Under the Knife 2, but it's 
also better. Though who knows. UTK2 was great. I just don't like the DS 
controls as much as the Wii.

Either way let me once again praise Second Opinion for being the best game the
Wii might ever know. This game is the ONLY thing that keeps the wiimote from
being the biggest waste of space ever created. And judging by how much 
Nintendo is sucking recently, it doesn't seem like this will change any time 
soon. But oh well. What can ya do. The console was worth getting for this 
game. I hope Atlus continues milking this franchise forever. They might not 
get it right every time, but I still have faith.

It seems there are low chances of Atlus porting UTK2 to the Wii though, which 
makes me sad. I mean sure, I wouldn't mind a new game, but a new game PLUS a 
port of UKT2 would be even better. Come on Atlus, it can't be that hard. 
According to an interview on 1up:

"And as far as the future of the series goes, I know there's an audience both 
on the Wii side and the DS side, but I also don't think we can just keep 
bringing ports back and forth like some companies do.

People were very understanding with Second Opinion because it was such, I 
think, an amazing proof of concept; it really worked on the Wii and showed the 
series could be just as fun on the Wii. A lot of people who bought the DS 
version also bought the Wii version. But as Yu says, going back and forth, I 
don't think that's what the fans want.

I think if we tried to double-dip too many times, fans would turn on the 
series."

Come the fuck on. That's the most ridiculous thing I've ever heard. I dare 
you to find one Trauma Center fan who would be against porting UTK2 to the 
Wii. I would buy it nine times even if it had absolutely NOTHING new. Stop 
disappointing me and port that shit already!

Anyway, it was fun replaying Second Opinion. I really needed to. Had to get 
it out of my system, know what I'm sayin'? What did I learn from this project?
I learned that fuck me, writing a guide is so much harder than just playing a 
game. I'm amazed that I didn't give up halfway through considering how much 
of a lazy motherfucker I am. Probably the only reason I didn't was because I 
was being encouraged by friends along the way. But it was close man. It was 
fucking close. I think I started around the 5th, and now it's the 20th. That's
15 days of pretty much nonstop work. You know how much that is for someone as 
lazy as me? And the game isn't that complex. I gotta say I respect people who 
have the dedication to write guides for the really long and complicated games.
It's not easy. Overall I think I like how this came out. Sure it's not perfect
but gimme a break, I'm fucking exhausted man. Leave me alone.

Well I've rambled on for long enough. I guess I don't really have anything
worthwhile to say other than congratulations if you've XS'd this game. You 
chose a damn fine game to master. I'm outta here.

                                                        Stay gold,
                                                             ~S.A. Renegade

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This guide may not be reproduced under any circumstances except for personal, 
private use. It may only be placed on my personal website
www.scathingaccuracy.com, on www.gamefaqs.com and on... actually you know
what? Fuck it. This guide can be found in a lot of sites. However, if you
want to post it on your site you must first ask me for permission, it must
be left unaltered in .txt format and have no ads.
The original and best version with videos can found on my personal website
www.scathingaccuracy.com. September 2008.