# Operate Now: Hospital — Surgery Simulation Game

> Build and manage a hospital, perform surgeries, and upgrade facilities. (iPhone/iPad app by SPIL GAMES.)

- Source: https://appshunter.io/ios/app/operate-now-hospital/id1136678102 (this page in markdown: same URL + `.md`)
- Developer: [SPIL GAMES](https://appshunter.io/developer/345597129)
- Category: Games, Entertainment, Role Playing, Simulation
- Price: Free with in-app purchases
- Rating: 4.50/5 from 93,209 App Store ratings · 1,974 written reviews indexed
- Age rating: 17+
- Requires: iOS 15.0 · 1.1 GB
- Languages: Russian, Kanuri, British English, Dutch, Indonesian, European Spanish, Italian, Korean, German (Germany), Polish and 7 more
- Released: 2017-05-04
- Data updated: 2026-08-26
- Monetization: free with in-app purchases
- User reviews in markdown: https://appshunter.io/ios/app/operate-now-hospital/id1136678102/reviews.md

## What is Operate Now?

Become a surgeon and build your own hospital.

Have you got what it takes to become a world class surgeon and make your hospital the greatest medical center in the world?

- BUILD, upgrade, and continually improve multiple hospitals and their facilities.
- CUSTOMIZE your hospital with unique and crazy skins.
- MANAGE your staff and improve their skills.
- OPERATE your patients by performing incredibly realistic surgeries.
- COLLECT staff members cards & boosters.
- COMPLETE characters backstories and unravel their hidden past.

Join Operate Now's player community: Operate Now's franchise has been downloaded over 40 million times by players all around the globe.

## Key features

- Build and upgrade hospitals
- Customize hospital skins
- Manage and train staff
- Perform realistic surgeries
- Collect staff cards and boosters
- Complete character backstories

## Pricing and in-app purchases

Base price: Free.

**One-time purchases**

| Purchase | Price | Type |
| --- | --- | --- |
| Golden Hearts Purse | $2.99 | one-time |
| Golden Hearts Box | $4.99 | one-time |
| Golden Heart Case | $9.99 | one-time |
| Golden Hearts Bag | $19.99 | one-time |
| Starter Pack | $5.99 | one-time |
| Limited Deal | $1.99 | one-time |
| Limited Deal | $1.99 | one-time |
| Limited Deal | $1.99 | one-time |
| Exclusive Deal | $4.99 | one-time |
| Special Super Deal | $6.99 | one-time |


## Chart rankings

- #178 in Top Free · Role Playing (US App Store)

## What do users think of Operate Now?

Overall sentiment: neutral

**Pros**

- 🚀 Realistic and enjoyable game
- 👍 Great graphics and interesting storyline
- 🚀 Fun and addictive gameplay

**Cons**

- 🐛 Frequent glitches and bugs
- 💰 Expensive upgrades and in-app purchases
- 🕰️ Slow progression and long wait times
- 🤖 Frustrating controls and mini-games
- 🤔 Lack of staff management options

**Commonly reported bugs**

- Game crashes and freezes during surgeries
- Recruitment and research tasks getting stuck
- Inconsistent performance after updates
- Inability to claim event rewards

**Most requested features**

- More diverse and challenging surgery options
- Ability to choose staff type during recruitment
- Option to rearrange hospital layout
- Faster progression and less repetitive gameplay
- Improved customer support and bug fixes

## Recent user reviews (10 of 1,974)

All indexed reviews: https://appshunter.io/ios/app/operate-now-hospital/id1136678102/reviews.md

### 5/5 — I am getting hired in 2 weeks

*2026-08-22, version 1.58.20*

I am getting hired in 2 weeks and I know some new stuff ❤️🫶 thank you

### 5/5 — Love it

*2026-08-20, version 1.58.20*

It is so good it is so realistic I love it

### 1/5 — Não entra

*2026-08-18, version 1.58.20*

Aplicativo horrível, instalei, desinstalei e instalei de novo pra ver se entrava e nada!!!

### 3/5 — Errores

*2026-08-17, version 1.58.20*

Hola, el juego en sí es muy bueno, pero hay bastantes errores, por favor arréglenlos porque, por ejemplo, cuando estaba haciendo investigación, se quedó bug y no he podido avanzar con más investigaciones. Solo para comentar eso, gracias.

### 4/5 — Sigh

*2026-08-15, version 1.58.20*

I really like the idea of this game I’ve played it on and off for years but there is so many glitches. With the people disappearing mid conversation to the sound going out… and allll the ads I get it you want to make some money which I’d gladly pay but you didn’t even ease into it it’s just adds after every thing you do. And with all the glitches why would I pay🤦🏻‍♀️

### 4/5 — Amazing  until it wasn’t

*2026-08-02, version 1.58.20*

Takes to long to load had to uninstall a lot

### 3/5 — Game is enjoyable if you spend money

*2026-07-29, version 1.58.20*

Great game. But I will say there’s some bugs in the game. Also the game purposely makes you spend your money. Staff,building,energy drinks is expensive and will make you think about buying with your money. Other than that it’s good 👍

### 4/5 — I hope the game allow no wifi or data ASAP.

*2026-07-26, version 1.58.20*

This game is like a reality i feel i’m in a hospital helping the people who is in pain or injured. If you want to be a doctor or nurse soon. Try this game now

### 1/5 — Load lâu

*2026-07-23, version 1.58.20*

Đợi mãi 0 cào load lâu vch

### 1/5 — ADS

*2026-07-18, version 1.58.20*

to many ads, each case each ADS, such a bad game

## Frequently asked questions about Operate Now

### What is this app about?

This app allows you to become a surgeon and build your own hospital. You can upgrade facilities, manage staff, perform realistic surgeries, and customize your hospital's appearance. The game also features character backstories to uncover.

### What are the key features of the game?

Key features include building and upgrading multiple hospitals, customizing them with unique skins, managing and improving staff skills, performing incredibly realistic surgeries, collecting staff member cards and boosters, and completing character backstories.

### Is this app free to play?

The app is free to download and play. It offers in-app purchases, which can be used to acquire items or boosters within the game. It also includes advertisements.

### Who is this game for?

This game is designed for players who enjoy simulation games, particularly those with a focus on hospital management, surgery, and building. It appeals to users looking for a detailed and engaging career simulation experience.

### What kind of surgeries can I perform?

The game features incredibly realistic surgeries that players can perform. While specific surgery types are not detailed, the core gameplay revolves around operating on patients as part of the hospital management and simulation experience.

## Version history (last 5 releases)

### 1.58.20 — 2026-05-04

- Various performance improvements
- SDK updated

### 1.58.6 — 2024-12-11

- Various updates and bug fixes

### 1.58.5 — 2024-11-19

Bug fixes and minor user experience improvements.

### 1.58.4 — 2024-11-01

Bug fixes and minor user experience improvements.

### 1.57.3 — 2024-05-16

- SDK update
- Splashscreen update
- Minor additions and improvements
- Optimization and bug fixes

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## More apps by SPIL GAMES

- [My Dolphin Show](https://appshunter.io/ios/app/my-dolphin-show/id632016921)
- [Troll Face Quest Video Memes](https://appshunter.io/ios/app/troll-face-quest-video-memes/id904223061)
- [Troll Face Quest Sports](https://appshunter.io/ios/app/troll-face-quest-sports/id930829303)
- [Tappy Plane: Endless Flyer](https://appshunter.io/ios/app/tappy-plane-endless-flyer/id1128336623)
- [Troll Face Quest Video Games](https://appshunter.io/ios/app/troll-face-quest-video-games/id1129234419)

All apps by SPIL GAMES: https://appshunter.io/developer/345597129

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-08-26.*