# ASSH Hand.e vs Plastic Surgery Exam Lab

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

Both are free to download. Plastic Surgery Exam Lab sells 2 in-app purchases, starting at $22.99 per month. ASSH Hand.e asks for nothing beyond the download.

ASSH Hand.e ships an update every 10 months, Plastic Surgery Exam Lab daily. The most recent releases landed on October 24, 2026 and October 26, 2026 respectively.

## The numbers

| Metric | ASSH Hand.e | Plastic Surgery Exam Lab |
| --- | --- | --- |
| 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 | **Daily** |
| Monetization | Free | — |
| Size | 120 MB | 316 MB |
| Requires iOS | **12.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [American Society For Surgery of the Hand](https://appshunter.io/developer/546184894) | [Elvin Aliyev](https://appshunter.io/developer/6814370415) |

## 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


### Plastic Surgery Exam Lab

[App page](https://appshunter.io/ios/app/plastic-surgery-exam-lab/id6814370413)

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Premium Monthly | $22.99 | per month |
| Premium Annual | $174.99 | per year |


## Frequently asked questions

### Is ASSH Hand.e free?

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

### Is Plastic Surgery Exam Lab free?

Plastic Surgery Exam Lab is free to download, with in-app purchases available.

### Do ASSH Hand.e or Plastic Surgery Exam Lab have ads?

Neither ASSH Hand.e nor Plastic Surgery Exam Lab shows ads.

### Which is updated more often, ASSH Hand.e or Plastic Surgery Exam Lab?

ASSH Hand.e ships an update every 10 months, and Plastic Surgery Exam Lab daily. Most recently, ASSH Hand.e was updated on October 24, 2026 and Plastic Surgery Exam Lab on October 26, 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.*