# GAiTEWAY vs SpineRef

The clearest difference is device support: SpineRef at 3 against GAiTEWAY's 1. SpineRef also leads on iOS requirement (15.1 vs 18.0). 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.

GAiTEWAY ships an update fortnightly, SpineRef every 10 days. The most recent releases landed on October 13, 2026 and September 26, 2026 respectively.

## The numbers

| Metric | GAiTEWAY | SpineRef |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Fortnightly | **Every 10 days** |
| Size | 18 MB | 61 MB |
| Requires iOS | 18.0 | **15.1** |
| Devices | iPhone | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Medtronic, Inc.](https://appshunter.io/developer/445860677) | [Platform.AI Inc](https://appshunter.io/developer/1895482359) |

## What reviewers say

### GAiTEWAY

[App page](https://appshunter.io/ios/app/gaiteway/id6477199520)

**In-app purchases:** none


### SpineRef

[App page](https://appshunter.io/ios/app/spineref/id6777927922)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is GAiTEWAY free?

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

### Is SpineRef free?

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

### Do GAiTEWAY or SpineRef have ads?

Neither GAiTEWAY nor SpineRef shows ads.

### Which is updated more often, GAiTEWAY or SpineRef?

GAiTEWAY ships an update fortnightly, and SpineRef every 10 days. Most recently, GAiTEWAY was updated on October 13, 2026 and SpineRef on September 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.*