# Surgical Notes vs MedXStream Plus

The clearest difference is rating: MedXStream Plus at 5.0 against Surgical Notes's 3.7. Surgical Notes's advantage is ratings volume (37 vs 3). 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.

MedXStream Plus holds the better App Store score, 5.0 against 3.7. That said, the two scores are not equally well evidenced: Surgical Notes has 37 ratings behind it against 3, so its average is the more settled of the two.

Surgical Notes ships an update every 5 weeks, MedXStream Plus every 2 months. The most recent releases landed on August 21, 2026 and September 23, 2026 respectively.

## The numbers

| Metric | Surgical Notes | MedXStream Plus |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.7 (37 ratings)](https://appshunter.io/ios/app/surgical-notes/id666491850/reviews) | **[5.0 (3 ratings)](https://appshunter.io/ios/app/medxstream-plus/id1438154096/reviews)** |
| Number of ratings | **37** | 3 |
| Positive reviews | 42.9% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 5 weeks** | Every 2 months |
| Monetization | Free | Free |
| Size | 36 MB | 71 MB |
| Requires iOS | **12.2** | 13.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 4+ | 17+ |
| Developer | [Surgical Notes, Inc.](https://appshunter.io/developer/666491853) | [Med X Change](https://appshunter.io/developer/792691759) |

## What reviewers say

### Surgical Notes

[App page](https://appshunter.io/ios/app/surgical-notes/id666491850)

This app streamlines surgical documentation for healthcare professionals. It allows for wireless digital dictation, real-time report management, and effortless coding, enhancing productivity and patient care. Seamlessly integrates with existing workflows for efficient RCM solutions.

**Highlights:** Wireless digital dictation, Real-time report management, Effortless coding, Streamlined transcription turnaround, User-centered design, Push notification reminders

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

**In-app purchases:** none


### MedXStream Plus

[App page](https://appshunter.io/ios/app/medxstream-plus/id1438154096)

Stream and manage surgical cases wirelessly from compatible recorders directly to your Apple device. Review, annotate, playback, download, and generate surgical reports in real-time during or after procedures.

**Highlights:** Wireless streaming from recorders, Surgical case review, Annotation tools, Playback and download, Surgical reporting, Secure connection

**In-app purchases:** none


## Frequently asked questions

### Is Surgical Notes free?

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

### Is MedXStream Plus free?

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

### Which has better reviews, Surgical Notes or MedXStream Plus?

MedXStream Plus is rated higher. Surgical Notes averages 3.7 out of 5 from 37 ratings, while MedXStream Plus averages 5.0 from 3 ratings.

### Do Surgical Notes or MedXStream Plus have ads?

Neither Surgical Notes nor MedXStream Plus shows ads.

### Which is updated more often, Surgical Notes or MedXStream Plus?

Surgical Notes ships an update every 5 weeks, and MedXStream Plus every 2 months. Most recently, Surgical Notes was updated on August 21, 2026 and MedXStream Plus on September 23, 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.*