# ACS SESAP 19 vs OpNotes

The clearest difference is ratings volume: OpNotes at 8 against ACS SESAP 19's 2. On price, rating, update cadence and ads there is nothing between them.

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

On the App Store both sit at effectively the same score — 5.0 for ACS SESAP 19 against 5.0 for OpNotes. Both are backed by a comparable volume of ratings — 2 and 8 respectively.

ACS SESAP 19 ships an update every 3 weeks, OpNotes every 2 months. The most recent releases landed on October 24, 2026 and October 6, 2026 respectively.

## The numbers

| Metric | ACS SESAP 19 | OpNotes |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (2 ratings)](https://appshunter.io/ios/app/acs-sesap-19/id6756577122/reviews) | [5.0 (8 ratings)](https://appshunter.io/ios/app/opnotes/id6757565665/reviews) |
| Number of ratings | 2 | **8** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 2 months |
| Monetization | — | Free |
| Size | 27 MB | 21 MB |
| Requires iOS | 15.6 | **15.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [American College of Surgeons](https://appshunter.io/developer/1014163760) | [Christian Cullen](https://appshunter.io/developer/1863290402) |

## What reviewers say

### ACS SESAP 19

[App page](https://appshunter.io/ios/app/acs-sesap-19/id6756577122)

**Features:** macOS Compatibility

**In-app purchases:** none


### OpNotes

[App page](https://appshunter.io/ios/app/opnotes/id6757565665)

This app helps surgical residents document their operative training with evolving case notes, technique libraries, and progress analytics. It provides a comprehensive journal for personal training, not for patient care.

**Highlights:** Detailed operative case documentation, Case minimum tracking, Techniques library, Attending profiles, Dashboard analytics, Cross-device sync, PDF case export

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

**In-app purchases:** none


## Frequently asked questions

### Is ACS SESAP 19 free?

ACS SESAP 19 is free to download, with no in-app purchases.

### Is OpNotes free?

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

### Which has better reviews, ACS SESAP 19 or OpNotes?

ACS SESAP 19 and OpNotes are both rated 5.0 out of 5 on the App Store, from 2 and 8 ratings respectively.

### Do ACS SESAP 19 or OpNotes have ads?

Neither ACS SESAP 19 nor OpNotes shows ads.

### Which is updated more often, ACS SESAP 19 or OpNotes?

ACS SESAP 19 ships an update every 3 weeks, and OpNotes every 2 months. Most recently, ACS SESAP 19 was updated on October 24, 2026 and OpNotes on October 6, 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.*