# Perfect Ear 3D vs Surgery Doctor Simulator

The clearest difference is update cadence: Perfect Ear 3D at every 5 days against Surgery Doctor Simulator's every 3 months. Perfect Ear 3D also leads on iOS requirement (11.0 vs 13.0). 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.

Perfect Ear 3D ships an update every 5 days, Surgery Doctor Simulator every 3 months. Both last shipped on November 3, 2026.

## The numbers

| Metric | Perfect Ear 3D | Surgery Doctor Simulator |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[3.1 (23 ratings)](https://appshunter.io/ios/app/surgery-doctor-simulator/id6470626340/reviews)** |
| Number of ratings | — | **23** |
| Positive reviews | — | 14.3% of reviews |
| In-app purchases | No | No |
| Ads | Yes | Yes |
| Update frequency | **Every 5 days** | Every 3 months |
| Monetization | — | Ad-supported |
| Size | 148 MB | 386 MB |
| Requires iOS | **11.0** | 13.0 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 4+ | 12+ |
| Developer | [洛阳三面体信息技术有限公司](https://appshunter.io/developer/1673622557) | [TapNation](https://appshunter.io/developer/1483575279) |

## What reviewers say

### Perfect Ear 3D

[App page](https://appshunter.io/ios/app/perfect-ear-3d/id6450951805)

**In-app purchases:** none


### Surgery Doctor Simulator

[App page](https://appshunter.io/ios/app/surgery-doctor-simulator/id6470626340)

Step into the role of a surgeon in a hospital game, performing various surgical procedures to save patients. Utilize realistic tools and manage patient care from diagnosis to recovery in this simulation.

**Highlights:** Perform various surgeries, Use realistic surgical tools, Manage patient care, Simulate hospital environment, Treat different diseases

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

**In-app purchases:** none


## Frequently asked questions

### Is Perfect Ear 3D free?

Perfect Ear 3D is free to download, with no in-app purchases.

### Is Surgery Doctor Simulator free?

Surgery Doctor Simulator is free to download, with no in-app purchases.

### Do Perfect Ear 3D or Surgery Doctor Simulator have ads?

Both Perfect Ear 3D and Surgery Doctor Simulator show ads.

### Which is updated more often, Perfect Ear 3D or Surgery Doctor Simulator?

Perfect Ear 3D ships an update every 5 days, and Surgery Doctor Simulator every 3 months. Most recently, Perfect Ear 3D was updated on November 3, 2026 and Surgery Doctor Simulator on November 3, 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.*