# AO Surgery Reference vs RealImaging Lite

The clearest difference is update cadence: RealImaging Lite at monthly against AO Surgery Reference's every 6 months. AO Surgery Reference's advantage is iOS requirement (13.0 vs 18.0). 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.

AO Surgery Reference ships an update every 6 months, RealImaging Lite monthly. The most recent releases landed on September 24, 2026 and September 13, 2026 respectively.

## The numbers

| Metric | AO Surgery Reference | RealImaging Lite |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.4 (14 ratings)](https://appshunter.io/ios/app/ao-surgery-reference/id403961165/reviews)** | — |
| Number of ratings | **14** | — |
| Positive reviews | 85.8% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 6 months | **Monthly** |
| Monetization | Free | — |
| Size | 1 MB | 281 MB |
| Requires iOS | **13.0** | 18.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 12+ |
| Developer | [AO Foundation](https://appshunter.io/developer/399757056) | [Realists Training Technologies GmbH](https://appshunter.io/developer/1789835340) |

## What reviewers say

### AO Surgery Reference

[App page](https://appshunter.io/ios/app/ao-surgery-reference/id403961165)

Access a comprehensive online repository of surgical knowledge for fracture management. It provides detailed guidance on diagnosis, treatment, and aftercare for numerous fracture types, supported by extensive illustrations and expert review.

**Highlights:** 353 fracture types covered, 172 surgical approaches, 1222 surgical procedures, Over 30,000 illustrations, Feline, canine, and equine fracture care, Powerful search function

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

**In-app purchases:** none


### RealImaging Lite

[App page](https://appshunter.io/ios/app/realimaging-lite/id6740541328)

**In-app purchases:** none


## Frequently asked questions

### Is AO Surgery Reference free?

AO Surgery Reference is free to download, with no in-app purchases.

### Is RealImaging Lite free?

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

### Do AO Surgery Reference or RealImaging Lite have ads?

Neither AO Surgery Reference nor RealImaging Lite shows ads.

### Which is updated more often, AO Surgery Reference or RealImaging Lite?

AO Surgery Reference ships an update every 6 months, and RealImaging Lite monthly. Most recently, AO Surgery Reference was updated on September 24, 2026 and RealImaging Lite on September 13, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*