# Smart Puncture vs Surgical Neuropathology

The clearest difference is price: Smart Puncture at Free against Surgical Neuropathology's $4.99. Smart Puncture also leads on update cadence (every 9 months vs every 55 months) and device support (3 vs 1). On review sentiment, ads, in-app purchases and iOS requirement there is nothing between them.

Smart Puncture is free to download; Surgical Neuropathology costs $4.99 up front. Neither carries in-app purchases, so what you see is what you pay.

Smart Puncture ships an update every 9 months, Surgical Neuropathology every 55 months. The most recent releases landed on November 1, 2026 and November 2, 2026 respectively.

## The numbers

| Metric | Smart Puncture | Surgical Neuropathology |
| --- | --- | --- |
| Price | **Free** | $4.99 |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 9 months** | Every 55 months |
| Monetization | **Free** | Paid |
| Size | 9 MB | 319 MB |
| Requires iOS | 12.0 | 12.0 |
| Devices | **iPhone, iPad, iPod** | iPad |
| Age rating | 4+ | 12+ |
| Developer | [Masaaki Hirata](https://appshunter.io/developer/942972055) | [Johns Hopkins Mobile medicine](https://appshunter.io/developer/488749253) |

## What reviewers say

### Smart Puncture

[App page](https://appshunter.io/ios/app/smart-puncture/id942972056)

This app helps visualize angles and distances relative to gravity. It displays a line that rotates with your iPhone, changing background color when tilted. You can also draw circles to measure distances from the rotation center.

**Highlights:** Angle rotation with gravity reference, Background color changes with tilt, Draw circles for distance measurement, Visualize lines with rotation

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

**In-app purchases:** none


### Surgical Neuropathology

[App page](https://appshunter.io/ios/app/surgical-neuropathology/id1210848613)

This medical reference app provides a comprehensive guide to surgical neuropathology. It features an interactive teaching algorithm, a searchable atlas with over 800 high-resolution images, a quiz, and flashcards for learning. It's designed for medical professionals and students.

**Highlights:** Interactive teaching algorithm, Searchable image atlas, Image-based quiz, Flashcard module, Over 800 high-resolution images, Covers 174 diagnostic entities, Incorporates molecular data in diagnosis

**In-app purchases:** none


## Frequently asked questions

### Is Smart Puncture free?

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

### Is Surgical Neuropathology free?

Surgical Neuropathology costs $4.99, with no in-app purchases.

### Do Smart Puncture or Surgical Neuropathology have ads?

Neither Smart Puncture nor Surgical Neuropathology shows ads.

### Which is updated more often, Smart Puncture or Surgical Neuropathology?

Smart Puncture ships an update every 9 months, and Surgical Neuropathology every 55 months. Most recently, Smart Puncture was updated on November 1, 2026 and Surgical Neuropathology on November 2, 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.*