# CNS+ vs TSM Scale

The clearest difference is iOS requirement: CNS+ at 13.0 against TSM Scale's 15.6. On price, update cadence, ads and in-app purchases there is nothing between them.

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

Both ship on a similar rhythm, roughly every 4 months. The most recent releases landed on September 22, 2026 and September 14, 2026 respectively.

## The numbers

| Metric | CNS+ | TSM Scale |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (4 ratings)](https://appshunter.io/ios/app/cns-plus/id1580882992/reviews)** | — |
| Number of ratings | **4** | — |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 4 months | Every 4 months |
| Monetization | Free | — |
| Size | 116 MB | 21 MB |
| Requires iOS | **13.0** | 15.6 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Congress of Neurological Surgeons](https://appshunter.io/developer/551149057) | [BAPTIST HEALTH MEDICAL GROUP PHYSICIANS, LLC](https://appshunter.io/developer/1895664627) |

## What reviewers say

### CNS+

[App page](https://appshunter.io/ios/app/cns-plus/id1580882992)

Access a comprehensive collection of neurological surgery educational resources, including guidelines, publications, and courses. Manage your professional development with features like 'My Education' and 'My CME'.

**Highlights:** CNS Guidelines access, CNS Publications access, My Education & My CME integration, Case of the Month, Neurosurgery Watch, Podcasts, Courses & Webinars

**Features:** macOS Compatibility

**In-app purchases:** none


### TSM Scale

[App page](https://appshunter.io/ios/app/tsm-scale/id6764157658)

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is CNS+ free?

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

### Is TSM Scale free?

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

### Do CNS+ or TSM Scale have ads?

Neither CNS+ nor TSM Scale shows ads.

### Which is updated more often, CNS+ or TSM Scale?

CNS+ ships an update every 4 months, and TSM Scale every 4 months. Most recently, CNS+ was updated on September 22, 2026 and TSM Scale on September 14, 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.*