# ASSH Hand.e vs PlasticOS

The clearest difference is in-app purchases: ASSH Hand.e at none against PlasticOS's 5. ASSH Hand.e also leads on iOS requirement (12.0 vs 15.1). PlasticOS's advantage is update cadence (every 2 days vs every 10 months). On price, ads and device support there is nothing between them.

Both are free to download. PlasticOS sells 5 in-app purchases, starting at $14.99 per month. ASSH Hand.e asks for nothing beyond the download.

ASSH Hand.e ships an update every 10 months, PlasticOS every 2 days. Both last shipped on October 7, 2026.

## The numbers

| Metric | ASSH Hand.e | PlasticOS |
| --- | --- | --- |
| 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** | Yes |
| Ads | No | No |
| Update frequency | Every 10 months | **Every 2 days** |
| Monetization | Free | — |
| Size | 120 MB | 98 MB |
| Requires iOS | **12.0** | 15.1 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 17+ |
| Developer | [American Society For Surgery of the Hand](https://appshunter.io/developer/546184894) | [BERKE KAHRAMAN](https://appshunter.io/developer/1843240615) |

## 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


### PlasticOS

[App page](https://appshunter.io/ios/app/plasticos-plastic-surgery/id6799756600)

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

**In-app purchases (5)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Resident, monthly | $14.99 | per month |
| Fellow, monthly | $24.99 | per month |
| Resident, yearly | $99.99 | per year |
| Fellow, yearly | $199.99 | per year |
| Lifetime | $399.99 | one-time |


## Frequently asked questions

### Is ASSH Hand.e free?

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

### Is PlasticOS free?

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

### Do ASSH Hand.e or PlasticOS have ads?

Neither ASSH Hand.e nor PlasticOS shows ads.

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

ASSH Hand.e ships an update every 10 months, and PlasticOS every 2 days. Most recently, ASSH Hand.e was updated on October 7, 2026 and PlasticOS on October 7, 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.*