# SurgeryPal vs Preop360

The clearest difference is rating: Preop360 at 5.0 against SurgeryPal's 2.7. SurgeryPal's advantage is in-app purchases (none vs 1) and iOS requirement (13.0 vs 15.1). On price, ratings volume, update cadence and ads there is nothing between them.

Both are free to download. Preop360 sells 1 in-app purchase, starting at $4.99 per month. SurgeryPal asks for nothing beyond the download.

Preop360 holds the better App Store score, 5.0 against 2.7. Both are backed by a comparable volume of ratings — 3 and 2 respectively.

Both ship on a similar rhythm, roughly every 3 months. The most recent releases landed on October 24, 2026 and October 21, 2026 respectively.

## The numbers

| Metric | SurgeryPal | Preop360 |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [2.7 (3 ratings)](https://appshunter.io/ios/app/surgerypal/id1501756259/reviews) | **[5.0 (2 ratings)](https://appshunter.io/ios/app/preop360/id6746079405/reviews)** |
| Number of ratings | **3** | 2 |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 3 months | Every 3 months |
| Monetization | **Free** | Free with in-app purchases |
| Size | 34 MB | 40 MB |
| Requires iOS | **13.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 4+ | 12+ |
| Developer | [Seattle Children's Hospital](https://appshunter.io/developer/575737934) | [CARE DECISIONS LLC](https://appshunter.io/developer/1734179704) |

## What reviewers say

### SurgeryPal

[App page](https://appshunter.io/ios/app/surgerypal/id1501756259)

This app helps teens aged 12 and up prepare for and recover from spinal fusion surgery. It offers weekly lessons and skills practice, along with symptom tracking for personalized tips. Daily use is encouraged for maximum benefit.

**Highlights:** Spinal fusion surgery preparation, Post-surgery recovery guidance, Weekly new lessons and skills, Symptom tracking, Personalized tips, Daily practice encouragement

**Features:** Vision Pro support

**In-app purchases:** none


### Preop360

[App page](https://appshunter.io/ios/app/preop360/id6746079405)

This app provides evidence-based support for clinicians evaluating adult patients for noncardiac surgery. It incorporates patient comorbidities and medications with interactive calculators to assess perioperative risk. Direct links to references and explanations aid in decision-making and learning.

**Highlights:** Evidence-based preoperative assessment, Interactive risk calculators (RCRI, DASI), Incorporates comorbidities and medications, Links to key references and explanations, Streamlines patient preparation, Standardizes assessments

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Basic Plan | $4.99 | per month |


## Frequently asked questions

### Is SurgeryPal free?

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

### Is Preop360 free?

Preop360 is free to download, with in-app purchases available.

### Which has better reviews, SurgeryPal or Preop360?

Preop360 is rated higher. SurgeryPal averages 2.7 out of 5 from 3 ratings, while Preop360 averages 5.0 from 2 ratings.

### Do SurgeryPal or Preop360 have ads?

Neither SurgeryPal nor Preop360 shows ads.

### Which is updated more often, SurgeryPal or Preop360?

SurgeryPal ships an update every 3 months, and Preop360 every 3 months. Most recently, SurgeryPal was updated on October 24, 2026 and Preop360 on October 21, 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.*