# OpNotes vs Blue Ledger

The clearest difference is ratings volume: OpNotes at 8 against Blue Ledger's 1. OpNotes also leads on device support (3 vs 1) and iOS requirement (15.0 vs 17.0). 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 OpNotes against 5.0 for Blue Ledger. That said, the two scores are not equally well evidenced: OpNotes has 8 ratings behind it against 1, so its average is the more settled of the two.

OpNotes ships an update every 2 months, Blue Ledger every 3 weeks. The most recent releases landed on September 19, 2026 and September 20, 2026 respectively.

## The numbers

| Metric | OpNotes | Blue Ledger |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (8 ratings)](https://appshunter.io/ios/app/opnotes/id6757565665/reviews) | [5.0 (1 ratings)](https://appshunter.io/ios/app/blue-ledger-surgical-case-log/id6760433422/reviews) |
| Number of ratings | **8** | 1 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 months | **Every 3 weeks** |
| Monetization | Free | Free |
| Size | 21 MB | 26 MB |
| Requires iOS | **15.0** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 17+ | 4+ |
| Developer | [Christian Cullen](https://appshunter.io/developer/1863290402) | [Pocket Retina, LLC](https://appshunter.io/developer/1880203365) |

## What reviewers say

### 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


### Blue Ledger

[App page](https://appshunter.io/ios/app/blue-ledger-surgical-case-log/id6760433422)

This app helps physicians and trainees document, organize, and learn from their surgical cases. It allows for detailed logging of procedures, tracking progress over time, and managing private media securely. The tool supports professional growth and reflection on clinical experiences.

**Highlights:** Log and organize surgical cases, Track procedures and case data, Analyze clinical experience trends, Manage private case media securely, Share cases to professional portfolio, Connect with colleagues, Receive activity notifications

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

**In-app purchases:** none


## Frequently asked questions

### Is OpNotes free?

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

### Is Blue Ledger free?

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

### Which has better reviews, OpNotes or Blue Ledger?

OpNotes and Blue Ledger are both rated 5.0 out of 5 on the App Store, from 8 and 1 ratings respectively.

### Do OpNotes or Blue Ledger have ads?

Neither OpNotes nor Blue Ledger shows ads.

### Which is updated more often, OpNotes or Blue Ledger?

OpNotes ships an update every 2 months, and Blue Ledger every 3 weeks. Most recently, OpNotes was updated on September 19, 2026 and Blue Ledger on September 20, 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.*