# Blue Ledger vs PlasticOS

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.

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.

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.

## The numbers

| Metric | Blue Ledger | PlasticOS |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (2 ratings)](https://appshunter.io/ios/app/blue-ledger-surgical-case-log/id6760433422/reviews)** | — |
| Number of ratings | **2** | — |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Every 2 days** |
| Monetization | Free | — |
| Size | 27 MB | 98 MB |
| Requires iOS | 17.0 | **15.1** |
| Devices | iPhone | **iPhone, iPod** |
| Age rating | 4+ | 17+ |
| Developer | [Pocket Retina, LLC](https://appshunter.io/developer/1880203365) | [BERKE KAHRAMAN](https://appshunter.io/developer/1843240615) |

## What reviewers say

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

**In-app purchases:** none


### PlasticOS

[App page](https://appshunter.io/ios/app/plasticos-plastic-surgery/id6799756600)

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

**In-app purchases (5)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Resident, monthly | $14.99 | per month |
| Fellow, monthly | $24.99 | per month |
| Resident, yearly | $99.99 | per year |
| Fellow, yearly | $199.99 | per year |
| Lifetime | $399.99 | one-time |


## Frequently asked 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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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*