Comparison

Blue Ledger vs PlasticOS

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Blue Ledger

This app helps physicians and trainees document, organize, and learn from their surgical cases. It allows for structured logging of procedures, tracking progress, managing media, and analyzing clinical experience for professional growth.

Highlights
  • Log and organize surgical cases
  • Track procedures and case data
  • Analyze clinical experience trends
  • Manage private case media
  • Share cases to professional portfolio
  • Connect with colleagues
  • Receive activity notifications
Features
Read full description

Blue Ledger: Surgical Case Log Blue Ledger is a modern surgical case ledger for physicians and trainees who want a better way to document, organize, and learn from their clinical experiences. Log cases with structured detail, track procedures over time, organize supporting media, and review your progress in one place. Blue Ledger helps you build a clear, longitudinal record of your operative experience while staying focused on growth, reflection, and performance. With Blue Ledger, you can: - Log and organize surgical cases with structured, consistent detail - Track procedures, roles, and case data over time - Review trends and analyze your clinical experience - Manage private case media stored securely on your device - Share selected cases to your professional portfolio - Connect with colleagues and grow your network - Receive reminders and activity notifications Blue Ledger supports how physicians actually learn through repetition, reflection, and continuous improvement. Whether you are a student, resident, or practicing physician, it helps you take ownership of your experience and turn it into insight Important Information: Blue Ledger is designed for professional, educational, and organizational use only. It does not provide medical advice, diagnosis, or treatment recommendations and does not replace clinical judgment. Users are responsible for ensuring that all case data and media are appropriately de-identified and compliant with applicable privacy standards.

About

PlasticOS

Features
Read full description

PlasticOS is the plastic surgery residency curriculum as an atlas you can search, a question bank that shows what you really know, and a voice that reads it to you. LISTEN All 146 board-level topics can be read aloud by your iPhone's own voice: hours of review for the commute or the call room. A caption follows the sentence; change the speed, skip, and pick up where you stopped, even with the screen locked. 86 procedures, the way a senior takes you through them: the anatomy to know before you scrub, assessment, every operative step with its pearls and hazards, donor site care, monitoring and outcomes, each with its primary reference. CONSULT Ask a clinical question and Consult searches the atlas and the topics as you type: "venous congestion in a free flap", "when is a DIEP contraindicated". It returns matching passages, each with its citation. It writes nothing itself and declines questions about a specific patient. You can also ask in Turkish or Spanish: the medical terms are matched to the English atlas on your device, and the screen shows the English query it searched. Measured before every release on more than a hundred clinical questions in each of the three languages. THE CURRICULUM: 146 TOPICS, ALL AT BOARD LEVEL PGY-1 to PGY-6: wound healing and grafts, local flaps, craniofacial and cleft, hand and nerve, breast, trunk and lower extremity, burns, microsurgery and aesthetic surgery. Every topic is written at board level, from skin grafts and burn resuscitation to cleft surgery, cranial vault remodeling, flexor tendons, wrist arthroscopy, DIEP flaps, lymphedema surgery and melanoma. Each has key numbers, classifications, algorithms, flashcards and references with PubMed IDs. QUESTION BANK: 2207 QUESTIONS Single-best-answer questions, mostly clinical vignettes, with the reasoning for every option, shuffled on each attempt. A mock exam is timed and weighted by exam section, with a review of every answer. Review and flashcards are scheduled with FSRS, a modern spaced-repetition algorithm. Explain it back: write a topic from memory, then check it against its key points. Progress shows mastery by exam section and what is due. TOOLS Figures drawn by the app, step by step, that can also play with narration: Z-plasty and local flaps, graft and burn depth, tendon zones. Teaching calculators that show their formula and source: Z-plasty gain, burn TBSA (Lund-Browder) and fluids, local anaesthetic maximum dose, Caprini. OFFLINE AND PRIVATE Everything ships inside the app, including the voice. No account, no analytics, no server of ours. Your progress stays on your device and does not sync between devices. PLANS Free: PGY-1 fundamentals, three core procedure walkthroughs, spaced repetition, emergency protocols and decision pathways, permanently. Resident: resident-level topics and the core procedure walkthroughs. Fellow: everything in Resident plus fellow-level topics and every walkthrough, including advanced microsurgery. Lifetime: a one-time purchase of everything in Fellow, including future updates. Resident and Fellow include a 7-day free trial. Residency programmes can license seats by invoice. WHAT THIS IS NOT A study aid for surgical trainees, not a clinical decision tool. The calculators are for teaching; nothing in the app should guide the care of a real patient. Built by a plastic surgeon. SUBSCRIPTION AND LEGAL Resident and Fellow are auto-renewable subscriptions, monthly (1 month) or yearly (1 year), each with a 7-day free trial. Lifetime is a one-time purchase, not a subscription. Payment is charged to your Apple Account at confirmation of purchase. A subscription renews automatically unless auto-renew is turned off at least 24 hours before the end of the current period. Manage or cancel it in your Apple Account settings. Terms of Use (EULA): https://berkemd.github.io/wristsuite/plasticos/terms Privacy Policy: https://berkemd.github.io/wristsuite/plasticos/privacy

Screenshots

Blue Ledger4 screens
PlasticOS4 screens

Verdict

The call

The clearest difference is in-app purchases: Blue Ledger at none against PlasticOS's 5. PlasticOS's advantage is update cadence (every 2 days vs every 3 weeks) and iOS requirement (15.1 vs 17.0). On price, ads and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. PlasticOS sells 5 in-app purchases, starting at $14.99 per month. Blue Ledger asks for nothing beyond the download.

UpkeepUpdate frequency

Blue Ledger ships an update every 3 weeks, PlasticOS every 2 days. The most recent releases landed on November 5, 2026 and October 31, 2026 respectively.

Scorecard3 real differences · 7 level
Blue Ledger versus PlasticOS: the parameters behind the verdict, then further details
ParameterBlue LedgerPlasticOS
PriceFreeFree
Rating5.0 (2 ratings) — better—
Positive reviews100.0% of reviews—
Number of ratings2 — better—
Update frequencyEvery 3 weeksEvery 2 days — better
AdsNoNo
In-app purchasesNo — betterYes
MonetizationFree—
DevicesiPhoneiPhone, iPod — better
Requires iOS17.015.1 — better
Further details — not scored
Size27 MB98 MB
Age rating4+17+
DeveloperPocket Retina, LLCBERKE KAHRAMAN

In-app purchases

None

Blue Ledger

No in-app purchases

5 purchases

PlasticOS

Subscriptions4
  • Resident, monthly7 Days trial$14.991 Month
  • Fellow, monthly7 Days trial$24.991 Month
  • Resident, yearly7 Days trial$99.991 Year
Show 1 more
  • Fellow, yearly7 Days trial$199.991 Year
One-time1
  • Lifetime$399.99

Questions

Is Blue Ledger free?
Blue Ledger is free to download, with no in-app purchases.
Is PlasticOS free?
PlasticOS is free to download, with in-app purchases available.
Do Blue Ledger or PlasticOS have ads?
Neither Blue Ledger nor PlasticOS shows ads.
Which is updated more often, Blue Ledger or PlasticOS?
Blue Ledger ships an update every 3 weeks, and PlasticOS every 2 days. Most recently, Blue Ledger was updated on November 5, 2026 and PlasticOS on October 31, 2026.

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