# ASSH Hand.e vs Smile Train

The clearest difference is update cadence: Smile Train at every 4 months against ASSH Hand.e's every 10 months. On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ASSH Hand.e ships an update every 10 months, Smile Train every 4 months. The most recent releases landed on October 24, 2026 and October 27, 2026 respectively.

## The numbers

| Metric | ASSH Hand.e | Smile Train |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[2.3 (20 ratings)](https://appshunter.io/ios/app/assh-hande/id1387506979/reviews)** | — |
| Number of ratings | **20** | — |
| Positive reviews | 11.1% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 10 months | **Every 4 months** |
| Monetization | Free | — |
| Size | 120 MB | 64 MB |
| Requires iOS | 12.0 | 12.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [American Society For Surgery of the Hand](https://appshunter.io/developer/546184894) | [BioDigital, Inc.](https://appshunter.io/developer/581713012) |

## What reviewers say

### ASSH Hand.e

[App page](https://appshunter.io/ios/app/assh-hande/id1387506979)

Access a vast library of peer-reviewed surgical videos and lectures on hand and upper extremity surgery. Prepare for procedures, create lesson plans, and stay updated on the latest developments in the field. Download content for offline viewing and share with colleagues.

**Highlights:** Extensive video library, Surgical procedure preparation, Lesson plan creation, Robust search and filtering, Offline content download, Save favorite content, Share with colleagues

**Features:** macOS Compatibility

**In-app purchases:** none


### Smile Train

[App page](https://appshunter.io/ios/app/smile-train/id1508571431)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is ASSH Hand.e free?

ASSH Hand.e is free to download, with no in-app purchases.

### Is Smile Train free?

Smile Train is free to download, with no in-app purchases.

### Do ASSH Hand.e or Smile Train have ads?

Neither ASSH Hand.e nor Smile Train shows ads.

### Which is updated more often, ASSH Hand.e or Smile Train?

ASSH Hand.e ships an update every 10 months, and Smile Train every 4 months. Most recently, ASSH Hand.e was updated on October 24, 2026 and Smile Train 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.*