# Washington Manual vs Plexus Surgery

The clearest difference is ads: Plexus Surgery at none against Washington Manual's shown. Washington Manual's advantage is iOS requirement (13.0 vs 15.0). On price, update cadence, in-app purchases and device support there is nothing between them.

Both are free to download. Washington Manual sells 1 one-off in-app purchase and Plexus Surgery sells 4 one-off in-app purchases. Whichever you choose, the download price is not the number that matters.

Washington Manual ships an update every 7 months, Plexus Surgery every 5 months. The most recent releases landed on October 22, 2026 and October 27, 2026 respectively.

## The numbers

| Metric | Washington Manual | Plexus Surgery |
| --- | --- | --- |
| 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 | Yes | Yes |
| Ads | Yes | **No** |
| Update frequency | Every 7 months | **Every 5 months** |
| Monetization | Free with in-app purchases | — |
| Size | 45 MB | 7 MB |
| Requires iOS | **13.0** | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) | [CALCUTTA CHIRURGIAE COLLECTIVE LLP](https://appshunter.io/developer/1568542382) |

## What reviewers say

### 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 |


### Plexus Surgery

[App page](https://appshunter.io/ios/app/plexus-surgery/id1568542379)

**Features:** macOS Compatibility

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 3 months & Bootcamp | $149.99 | one-time |
| 6 months | $299.99 | one-time |
| 1 Year | $499.99 | one-time |
| 2 Years | $799.99 | one-time |


## Frequently asked questions

### Is Washington Manual free?

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

### Is Plexus Surgery free?

Plexus Surgery is free to download, with in-app purchases available.

### Do Washington Manual or Plexus Surgery have ads?

Washington Manual shows ads; Plexus Surgery does not.

### Which is updated more often, Washington Manual or Plexus Surgery?

Washington Manual ships an update every 7 months, and Plexus Surgery every 5 months. Most recently, Washington Manual was updated on October 22, 2026 and Plexus Surgery on October 27, 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.*