# surgery guide vs Washington Manual

The clearest difference is in-app purchases: surgery guide at none against Washington Manual's 1. surgery guide also leads on ads (none vs shown) and iOS requirement (6.0 vs 13.0). On price, update cadence and device support there is nothing between them.

Both are free to download. Washington Manual sells 1 one-off in-app purchase. surgery guide asks for nothing beyond the download.

surgery guide ships an update every 4 months, Washington Manual every 7 months. The most recent releases landed on September 16, 2026 and October 22, 2026 respectively.

## The numbers

| Metric | surgery guide | Washington Manual |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.0 (2 ratings)](https://appshunter.io/ios/app/washington-manual-surgery/id1242237344/reviews)** |
| Number of ratings | — | **2** |
| In-app purchases | **No** | Yes |
| Ads | **No** | Yes |
| Update frequency | **Every 4 months** | Every 7 months |
| Monetization | — | Free with in-app purchases |
| Size | 18 MB | 45 MB |
| Requires iOS | **6.0** | 13.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [rahul baweja](https://appshunter.io/developer/804610215) | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) |

## What reviewers say

### surgery guide

[App page](https://appshunter.io/ios/app/surgery-guide/id1077978386)

**Features:** macOS Compatibility

**In-app purchases:** none


### Washington Manual

[App page](https://appshunter.io/ios/app/washington-manual-surgery/id1242237344)

This medical app provides essential surgical information for healthcare practitioners. It offers quick access to guidelines, algorithms, and patient care details, with offline functionality. Users can add notes and annotations to personalize their learning experience.

**Highlights:** Point-of-care clinical information, Algorithms and formulas, Preoperative and postoperative care, Offline content access, SmartSearch technology, Rich-text notes and voice memos, Annotations

**Features:** macOS Compatibility

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Washington Manual Surgery | $49.99 | one-time |


## Frequently asked questions

### Is surgery guide free?

surgery guide is free to download, with no in-app purchases.

### Is Washington Manual free?

Washington Manual is free to download, with in-app purchases available.

### Do surgery guide or Washington Manual have ads?

Washington Manual shows ads; surgery guide does not.

### Which is updated more often, surgery guide or Washington Manual?

surgery guide ships an update every 4 months, and Washington Manual every 7 months. Most recently, surgery guide was updated on September 16, 2026 and Washington Manual on October 22, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*